The medical diseases of children . be obtainable from the separated. Fig. 40.—Syphilitic Epiphysitis : swellings above both elbows axd left wrist. epiphysis. The arms are more commonly affected than the lesions may or may not be symmetrically placed. CEdema ofthe hands and feet occasionally develops with syphilitic epiphysitis. The diagnosis is not difficult. If swelling is present, the case maybe mistaken for infantile scurvy ; if absent, acute poliomyelitis maybe suspected. In both cases, the age-incidence of the disease shouldmake the diagnosis clear. Scurvy is unknown before the f


The medical diseases of children . be obtainable from the separated. Fig. 40.—Syphilitic Epiphysitis : swellings above both elbows axd left wrist. epiphysis. The arms are more commonly affected than the lesions may or may not be symmetrically placed. CEdema ofthe hands and feet occasionally develops with syphilitic epiphysitis. The diagnosis is not difficult. If swelling is present, the case maybe mistaken for infantile scurvy ; if absent, acute poliomyelitis maybe suspected. In both cases, the age-incidence of the disease shouldmake the diagnosis clear. Scurvy is unknown before the fifth monthof life, nor is the swelling of scurvy localized to the epiphyseal lineas it is in syphilitic epiphysitis. Other signs of inherited syphilis arenearly always to be found. With mercurial treatment, preferably by inunction, the conditionof the limbs improves rapidly and without leaving any permanentdamage Scotts dressing should be applied to the limb. SYPHILIS OF THE BONES AND JOINTS 183 Dactylitis.—Dactylitis is less common than the foregoing affectio


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectpediatrics, bookyear1