File:The diseases of infants and children (1919) (14596649669).jpg

Identifier: diseasesofinfant01grif (find matches)
Title: The diseases of infants and children
Year: 1919 (1910s)
Authors: Griffith, J. P. Crozer (John Price Crozer), 1856-1941
Subjects: Infants Children Disease Pediatrics
Publisher: Philadelphia, London, W.B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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early childhood to the development of cond3lomata.That this may take place in spite of treatment is shown by the fact that 1 Zeit. f. Kinderh., OriR., 1913, IX, 27. 2 Lancet, 1904, II, 1402. ^ Pfaundler and Schlossmann, Handb. d. Ivinderheilk, 1906, I, 2, 921. 574 THE DISEASES OF CHILDREN in 208 cases of congenital syphilis observed by Hochsinger^ during aperiod of more than 4 years, 131 (63 per cent.) exhibited recurrence, andof these 112 (54 per cent.) had undergone treatment carried out in athorough manner. In addition to those described, new symptoms may appear whichwould be classified, for the most part, as tertiary in acquired syphilis;prominent among them being gummata in various regions. These areseen usually after the period of early childhood. In other cases the latersymptoms develop about the time of puberty or even after this, withoutany of the earlier secondary sj^mptoms having been observed, or, ifnoticed, so slight that their nature was unrecognized. To this form of the
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Fig. 191.—Gummata of Elbows a.nd Uiii..-iT i:^ Lati. IIekeditary Syphilis.Courtesy of Dr. H. R. Wharton. disease is sometimes applied the title Syphilis hereditaria tarda. Theexistence of such a condition without previous symptoms has been muchdisputed, as is, indeed, the proper application of the name. The principal later symptoms of syphilis are the affections of thepermanent teeth and of the bones, eyes and ears, and various lesionsof the skin, principally of a condylomatous or gummatous nature. Someof the later symptoms must be described more in detail:— The general nutrition suffers, there being a decided retardation ofgrowth, general impairment of vigor, delayed puberty, and anemia.The last may persist after other symptoms have disappeared. Osseous changes are present, usually represented by localized gummataor by a hyperplastic osteoperiostitis. This latter affects chiefly the longbones of the extremities, and the cranium. It produces thickening,tenderness, and pain which i

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