. The practice of pediatrics. It appears in discrete, brownish-colored macules (Fig. 100), rounded and 660 THE PRACTICE OF PEDIATRICS ?wdth a tendency to a very fine desquamation in the center. The skinbetween the macules may remain normal. The macules may occurin groups and become so extensive as to coalesce and involve a large part of the skin surface ofthe patient (Fig. 102). The moist parts aboutthe buttocks, legs, and abdomen are usually in-volved first and most exten-sively. There is no order,however, as to the appear-ance of the rash, the faceand the arms may be firstaffected,


. The practice of pediatrics. It appears in discrete, brownish-colored macules (Fig. 100), rounded and 660 THE PRACTICE OF PEDIATRICS ?wdth a tendency to a very fine desquamation in the center. The skinbetween the macules may remain normal. The macules may occurin groups and become so extensive as to coalesce and involve a large part of the skin surface ofthe patient (Fig. 102). The moist parts aboutthe buttocks, legs, and abdomen are usually in-volved first and most exten-sively. There is no order,however, as to the appear-ance of the rash, the faceand the arms may be firstaffected, or the rash may begenerally distributed overthe entire skin the rash fades, theskin becomes smooth, butthere is left a copper-col-ored stain which is as char-acteristic of the disease asthe rash. When the eruptionoccurs about the anus orthe moist parts, as in flex-ures and skin folds, the eruption sloughs and condylomata are formed(Fig. 101). In many cases, particularly in very young infants, a diffuse thicken-. Fig. 102.—Extensive syphilitic rash.


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Keywords: ., bookcentury1900, bookdecade1910, bookid39002, booksubjectchildren