File:Manual of antenatal pathology and hygiene - the foetus (1902) (14597891039).jpg

Identifier: manualofantenata01ball (find matches)
Title: Manual of antenatal pathology and hygiene : the foetus
Year: 1902 (1900s)
Authors: Ballantyne, J. W. (John William), 1861-1923
Subjects: Fetus Prenatal care Fetus Prenatal Care
Publisher: New York : William Wood
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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lished his articleon syphilitic jaundice (Bull. Soc. Anat. cle Paris, xxiv. 66,1849); sincethen many monographs dealing with the same subject have appeared,among which that by Lucien Hudelo (Contribution a IStude des lesionsdu foie dans la syphilis hSreditaire,Paris, 1S90) laaj he singled outfor special mention; but Gubler it was who broke fresh ground inthis direction—a memorable name and date therefore—Gtcbler 18^9.To be quite exact it was in 1847 that Gubler first noted specialchanges in the liver of the syphilitic new-born infant, but thepublication of the fact was in 1849. What, then, are the changesmet with in the foetal liver in syphilis ? In the first place, lest I by any chance omit to make the state-ment, the liver may show no alterations whatever, exhibiting only thenaked-eye and microscopic characters common to all new-born infants;in other cases in which the foetus has died in utero, the organ willreveal the appearances due to macerative change, and these may Plate x.
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PATHOLOGY OF FCETAL SYPHILIS 233 entirely obscure any specific peculiarities. This statement is truenot only of the liver but also of all the organs in foetal syphilis. In the second place, the liver may be the seat of very specialchanges, macroscopic and microscopic. To the liver thus altered bysyphilis the French writers have given the names foie silex (flintliver) and foie silex avec grains de semoule (flint liver withsemolina grains); the two names to some extent indicate twodifferent alterations, for the flint liver may show none of the semolina grains; but it is common to find the two groups oflesions combined in the same liver, the semolina change being theusual concomitant of the flinty ( cest la satellite habituelle de lalesion silex, Huclelo). Some years ago I obtained from an un-doubtedly syphilitic foetus the liver which is produced in Plate X.,it exhibits very clearly the semolina grain appearance. The flintliver ( foie silex ) is larger and heavier than normal and its ma

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