. The diseases of children : medical and surgical. Fig. 93.—Swelling of lower ends of Tibia and Fibula, and also of the Radius and Ulna, from asyphilitic infant of four months old. The swelling lies at and above the line of junctionbetween the epiphyses and shafts. (Compare with Rickety Enlargement, p. 201.) later. Complete deafness frequently results from this affection. The threelesions of the teeth, the cornea, and the ear are known sometimes as Hutchinsons triad of symptoms, and may be looked upon as quite patho-gnomonic. Middle ear disease is also sometimes caused by congenital


. The diseases of children : medical and surgical. Fig. 93.—Swelling of lower ends of Tibia and Fibula, and also of the Radius and Ulna, from asyphilitic infant of four months old. The swelling lies at and above the line of junctionbetween the epiphyses and shafts. (Compare with Rickety Enlargement, p. 201.) later. Complete deafness frequently results from this affection. The threelesions of the teeth, the cornea, and the ear are known sometimes as Hutchinsons triad of symptoms, and may be looked upon as quite patho-gnomonic. Middle ear disease is also sometimes caused by congenital —This is often difficult and sometimes remains uncertain. Inthe infant care must be taken not to mistake, as students are very apt to do,an erythema about the genitals, which has its origin in the irritation caused byfouled napkins, for a specific rash, or, on the other hand, hastily to assumethat an infant is not syphilitic because there is a certain amount of excoria-tion and rawness about the anus caused by the fretting of the wet


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