The diseases of infants and children . Fig. -Syphilitic Epiphysitis with Secondary case as Fig. 187. Craniotabes is an occasional osseous lesion seen in infancy. It con-sists of thin, softened spots, particularly in the occipital region, but is notentirely pathognomonic of syphilis since it may occur in rachitis as Fig. 190.—Saddle-nose in Early case as Fig. 187. (Seep. 587; Vol. II, p. 428.) Flattening of the bridge of the nose producingthe saddle-nose is sometimes an early symptom (Fig. 190). It may beonly an apparent flattening at this stage, but


The diseases of infants and children . Fig. -Syphilitic Epiphysitis with Secondary case as Fig. 187. Craniotabes is an occasional osseous lesion seen in infancy. It con-sists of thin, softened spots, particularly in the occipital region, but is notentirely pathognomonic of syphilis since it may occur in rachitis as Fig. 190.—Saddle-nose in Early case as Fig. 187. (Seep. 587; Vol. II, p. 428.) Flattening of the bridge of the nose producingthe saddle-nose is sometimes an early symptom (Fig. 190). It may beonly an apparent flattening at this stage, but often depends upon actual SYPHILIS 573 involvement of the cartilages and bones. The affections of the eye andear among the early symptoms of syphilis, already referred to in discus-sing pathological anatomy, consist principally of iritis, choroiditis, opticneuritis and purulent otitis. Visceral lesions are, as indicated, early symptoms more characteristicof syphilis of the fetus and the new born than of the disease first showingitself in infants past this period. They date from intra-uterine life andare well-marked only in unfavorable cases. The commonest clinicalmanifestation is decided enlargement of the liver, the organ presentinga hard edge on palpation and projecting considerably farther downwardthan normal. Ascites and icterus o


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Keywords: ., bookcentury1900, bookdecade1910, booksubject, booksubjectchildren