The medical diseases of children . soles if the rash is at allextensive. Fissures, radiating outwards from the mouth or anus, are commonduring infancy. They may leave permanent scarring. Rhagadesof the lips, to be of diagnostic value, should not be confined to theangles of the mouth, but should be definitely linear and radiate out-wards from the upper and lower lips (Fig. 38). Condylomata are frequently found round the anus or in the are raised, flat-topped patches of about the size of a threepenn)^-piece. They are very liableto occur at any time duringinfancy. Later Skin Affections
The medical diseases of children . soles if the rash is at allextensive. Fissures, radiating outwards from the mouth or anus, are commonduring infancy. They may leave permanent scarring. Rhagadesof the lips, to be of diagnostic value, should not be confined to theangles of the mouth, but should be definitely linear and radiate out-wards from the upper and lower lips (Fig. 38). Condylomata are frequently found round the anus or in the are raised, flat-topped patches of about the size of a threepenn)^-piece. They are very liableto occur at any time duringinfancy. Later Skin Affections.—Theseare uncommon. Condylomatamay recur up to the ages ofthree or four years. Gummataof the skin have been des-cribed. Phagedenic ulcerationof the face is a very raremanifestation. Hair.—The hair in syphil-itic children may be abnormalin two ways. Excessivegrowth of hair, usually darkin colour, may be presentduring the first few weeks oflife. It is sometimes calledthe syphilitic wig (). There is nothing peculiar about. Fig. 39.— Syphilitic Wig : INFANT, AGED J WEEKS, WITH EPIPHYSITIS. it except its luxuriantgrowth, and such a condition is by no means confined to syphiliticchildren. A more characteristic change in the hair is sometimes seen at arather later date, and consists of thinning of the hair. The top ofthe head is most affected. Although true baldness is not present,the sparse condition of the hair may be rather striking, particularlywhere it is confined to the vertex. Onychia is occasionally seen in infancy, especially in associationwith desquamative rashes. The nails become separated and blackened,and ultimately fall off. Should the child live, under mercurial treat-ment new and healthy nails grow. 182 INFECTIVE DISEASES SYPHILIS OF THE BONES AND JOINTS. Epiphysitis.—The commonest age for syphilitic epiphysitis toappear is about the sixth week. It very rarely occurs after thethird month. The earliest symptom is pain, which causes the affected limb to be
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectpediatrics, bookyear1
