The practice of pediatrics . t thebuttocks and genitals, and generally extend down the thighs on to thecalves and on to the feet (Fig. 126). The face is another commonsituation for these macular eruptions. The margins of the continuous eruptions are irregular, and oftenseparated by clear skin from scattered but smaller patches of the samekind of rash. The edges are usually but slightly raised above the levelof the sound skin, but may be decidedly infiltrated and thickened. 568 INFECTIOUS DISEASES The epithelium may in places peel off and leave ragged edges, this beingseen oftenest about the fe
The practice of pediatrics . t thebuttocks and genitals, and generally extend down the thighs on to thecalves and on to the feet (Fig. 126). The face is another commonsituation for these macular eruptions. The margins of the continuous eruptions are irregular, and oftenseparated by clear skin from scattered but smaller patches of the samekind of rash. The edges are usually but slightly raised above the levelof the sound skin, but may be decidedly infiltrated and thickened. 568 INFECTIOUS DISEASES The epithelium may in places peel off and leave ragged edges, this beingseen oftenest about the feet and hands. In the early stages these maculesand papules are bright red, but as they grow older they grow duller incolor and finally become copper or ham colored, which is consideredrather typical of syphilitic rashes. Vesicular syphilides are rare, but may occur. On the palms andsoles they produce the well-known pemphigus. The vesicles vary insize from a pea to the larger bulla3, which may cover a good-sized area Fig. 125. Results of congenital syphilis, showing scars around the mouth. (Stowell.) of skin. They contain more or less serum, which may be reddish incolor. On rupturing, the underlying skin is seen to be infiltrated andcopper colored. Pustular eruptions are common and are often mixed in with themaculopapular rashes. They occur mostly on the face, head, andbuttocks, but may appear anywhere. They often come in groups aboutthe forehead or near the anus. On discharging their contents dirtycrusts are formed. Very probably the pustules are most frequently CONGENITAL SYPHILIS 569 due to infection of pre-existing syphilitic rashes by pus-produeingorganisms. Alopecia is ordinarily present to a greater or less degree, but is scarcelycharacteristic, as it occurs in so many forms of malnutrition. This mayinvolve the eyelashes and eyebrows, as well as the scalp. The nails t -Z^m; vjp ..>;?? F —* kill LW m W\** ? ^yK, ^H r r ^1 j ? i V 1 •mi W wL*- tA ~*w~~^| •> m ^l
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectchildren, bookyear190
