File:American practice of surgery - a complete system of the science and art of surgery (1906) (14782378335).jpg

Identifier: americanpractice03brya (find matches)
Title: American practice of surgery : a complete system of the science and art of surgery
Year: 1906 (1900s)
Authors: Bryant, Joseph D. (Joseph Decatur), 1845-1914 Buck, Albert H. (Albert Henry), 1842-1922
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Publisher: New York : W. Wood and company
Contributing Library: University of California Libraries
Digitizing Sponsor: Internet Archive

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eristic of hereditary syphilis, and are spoken of as Parrotsnodes. They are comparatively common in this stage of the disease. Theeffect of treatment upon the mother is most marked, and may not only de-lay the time of appearance, but greatly modify the virulence of the disease.It is somewhat peculiar that while a large number of cases is seen during thefirst six months of life, in the period between two and five years the diseaseis rarely encountered, as compared with later or with earlier periods. Accord-ing to Fournier, out of a series of cases of inherited syphilis in children overthree years of age, there were 5 in whom the disease developed between theages of three and five years, 54 between five and twelve years. 24 betweenthirteen and nineteen years, and 7 between nineteen and twenty-eight year.- :;so AMERICAN PRACTICE OF SURGERY. It is entirely probable, however, that in some casts the symptoms may appearafter the twenty-eighth year. When hereditary syphilis affects the skull,
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FIG. 172.—Abnormally Curved Bones, a Condition Probably Due to Congenital Syphilis. Theaffected bones arc those of the right thigh, leg. and forearm. (From U. S. Army Medical Museum,w ashington, I I ulceration often occurs, and this result is quite common in very young children.The frontal, parietal, or occipital bone may be involved. Sometimes distinct SYPHILITIC DISEASE OF THE BONES. 381 nodules are found as a result of syphilitic inflammations of the periosteum, andthey persist without degenerative changes. If the ulcerative process involvesboth tables of the skull, meningitis and death are likely to follow. If thenodules—so-called osteophytes—organize and form bone, they may produceoutside changes in the contour or shape of the skull. Often early ossificationtakes place in certain portions of the cranium, and as a result the head becomesmarkedly asymmetrical. In a general way, involvement of the bones of theskull in the course of hereditary syphilis is similar in all essenti

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