Identifier: moderndiagnosis00shef (find matches)
Title: Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood
Year: 1911 (1910s)
Authors: Sheffield, Herman Bernard, 1871- (from old catalog)
Subjects: Children Children
Publisher: Philadelphia, F. A. Davis company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
not rarely extending also to the phalanges (syphiliticphalangitis, q.v.). In the majority of cases we find a bullouseruption which is pathognomonic of grave syphilitic infection,i.e., pemphigus syphiliticus. It usually sets in within thefirst week after birth as flaccid, yellow or brownish vesicles,surrounded by an areola of dry epidermis or excoriation. Thebulla? vary in size from a pinhead to a cherry, burst readily and SYPHILIS. 401 discharge a seropurulent or serosanguinolent content. They aredistributed all over the body, but particularly over the palms ofthe hands and soles of the feet—herein differing from non-syphi- simpife°mlitic pemphigus which but rarely affects these parts. In conse- PemPhlsusquence of the inflammatory state of the skin the superficiallymphatic glands are more or less implicated, the swelling oftenpersisting long after disappearance of the primary cause. En-largement of the epitrochlear glands—just above the internal Differentia- Enlargedepitrochlear
Text Appearing After Image:
Fig. 127.—Pemphigus Syphiliticus Involving Especially the Solesof the Feet. (Sheffield.) condyle of the humerus is especially common and of diagnosticimportance. Special mention deserve also the syphilitic condylo- Condylomata,mata, especially at the anus and female genitals. They usuallybegin as simple papules and from the effect of irritating dis-charges undergo transformation into luxurant growths. With the aforementioned clinical findings in view, it requiresno sage to solve the problem of diagnosis. Now, if the physicianbases his judgment upon the symptoms presented, does not allowhimself to be led astray by spurious histories (omnis syphiliticusmendax !), but goes right ahead and employs suitable antisyphiliticmeasures (see page 408), the chances of rapid improvement andultimate recovery are very good indeed. Otherwise, the syphilitic 26 XL COMMUNICABLE DISEASES. Osteo-chondritis. Pseudo-paralysis. Deformedforehead. process often violently runs its destructive course, attacks

Note About Images