File:Medical diseases of infancy and childhood (1900) (14580162617).jpg

Identifier: medicaldiseaseso00will (find matches)
Title: Medical diseases of infancy and childhood
Year: 1900 (1900s)
Authors: Williams, Dawson, 1854- (from old catalog) Churchill, Frank Spooner, 1864- (from old catalog) ed
Subjects: Children
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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when they rupture or dry, form dark yellowish-green scabs, often, from confluence, of large size, under which a shallowunhealthy ulceration tends to spread. The child is usually marasmicat birth, or very quickly becomes cachectic, and the prognosis isextremely bad. This eruption, when well marked, indicates a verysevere form of the disease, but Crocker^ states that he has seen one Some Aspects of Infantile Syphilis, London, 1897. These Hunterian Lecturescontain an excellent discussion of many of the moot points as to syphilis, both inheritedand acquired in infants, 2 Diseases of the Skin, London, 1893, p. 544. ISHERITED SYPHILIS. 193 severe case, in which the eruption was present at Mrth, ivocner und(>rimmediate mercurial treatment. Tsually the intants succumb quicklyto the cachexia. Occasionally cases are met with in which a fewshallow bulhe appear as late as the fourth or fifth week of life. Suchcases are amenable to mercurial treatment, and the ))rognosis is muchbetter. Fig. 14.
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_ ^.r-rAaV-^. Syphilitic mara&niiis in an infant, showing the senile cast of couuteuaucc, ihugudLs about themouth,etnaciatioD, inelastic skin, scanty hair, and ansemic rcdema of bands aud feet. (From aphotograph.; The marasmus produced ))y inherited syphilis (Fig. 14) may bethe first symj>tom in time as it is in importance. We may distin-guish two factors—anaemia and wasting. The infant may be ))ornmarasmic, or it is lx)rn well nourished, but before the end of the firstmonth begins to be ana?mie. The skin has a faint yellow or straw-colored tinge, and looks semi-transparent, as though it wore coatedwith a thin layer of yellow wax. Wlien the affection is more j)ro-found the color \s> deeper, and the skin has an opaque brownish tint,13 194 SYPHILIS. which has been compared to that of cafe au lait. The hair grows thin,and a shght branny desquamation, often accompanied by yellowstains mav be seen about the scanty eyebrows. Usually the first lo-cal symptoms is snuffles, due to

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