File:Medical diseases of infancy and childhood (1900) (14766300332).jpg

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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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rvous system is very seldom involved in infantilesyphilis. Convulsions, retraction of the head, and opisthotonos have,on somewhat doubtful grounds, been attributed to syphilis. In Dr. Gee found it in 45 per cent., Dr. Coutts in 62 per cent., and in 19 percent,in addition the organ was probably enlarged. lyMERITED SVPHILIS. 199 marasmic infants insomnia is soniotinios a vorv proniinont symptom.The infant is drowsy l\v day, but by nioht is restless, erying ahnostwithont eeasing, and sometimes sereaming, as tliough in severe pain.At a somewhat later aire paehymeuiniritis, eerebral sclerosis, andgummata may occur. Hemiplegia is in some few cases )nodncedindependently of the last-named lesion. Chronic hydroee)^lialus is,in rare cases, due to syphilitic disease of the membranes in the neigh-borhood of the fourth ventricle. The enlargement of the head is ofthe form nsually observed in chronic hydrocephalus (see ChapterXLI.), but it seldom attains great proportions. The photograph of Fig. 16.
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Hydrocephalus in a syphilitic infant an infant (Fig. IG), in whom the enlargement was arrested whileunder the influence of mercury, shows the broad pear-shaped cranium,the flattened shallow orbits, and the depressed eyeballs. If thecranial bones are affected In- tlie jx^riosteal changes described below,the api>earance may be extremely odd, as in the infant a photographof whom is reprrKluced in Fig. 17. In this case the orbits wereshallow, the sderotics visible al)ove the cornea, and the eyeballs de-pressermous frontal bosses, while theparietal bones were pushed outward and much thickened at their 200 SYPHILIS. upper edges. Children suffering from late syphilis are backward,and sometimes distinctly deficient in intellect. Bone lesions, periosteal or epiphysial, occur in a very large propor-tion of all cases of inherited syphilis. According to Wagner, Birch-Hirschfeld, and other pathol

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