Identifier: diseasesofinfa00kopl (find matches)
Title: The diseases of infancy and childhood
Year: 1910 (1910s)
Authors: Koplik, Henry, 1858- (from old catalog)
Subjects: Children
Publisher: New York and Philadelphia, Lea & Febiger
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:
(J ~ - >> 08 - 3 5 £ c 0 <D 2 o o °u cd Ll SYPHILIS. 4 00 simulate it are septic osteomyelitis involving the joints, scurvy, andsevere rachitis. I have known instances in which prolonged obser-vation was necessary to clear up the case. A very characteristic but not common affection of the bones isthe so-called dactylitis syphilitica (Fig. 91). This may appear asearly as the fourth week, and may be associated with swelling of theepiphyses of the long bones. It consists of a fusiform swelling ofthe phalanges of one or more fingers. According to Taylor, this isprimarily a gummatous infiltration of the skin, the periosteum, bone,and epiphyseal cartilage. In another form the periosteum and the Fig. 91.
Text Appearing After Image:
Congenital syphilis ; onychia of all the nails; dactylitis of the phalanx of the indexfinger. Infant, four months of age. bone itself are the seat of the gummatous inflammation, the epiphysisand the joint becoming involved later in the process. In neglectedcases, fistulas and destruction of the joint may result from necrosisof the epiphysis. The diagnosis of these forms of dactylitis fromtuberculous spina ventosa is sometimes difficult, and often impossiblewithout mercurial treatment. Cases of rachitis which involve thephalanges of all the fingers simulate very closely the above affection(see Rachitis). Syphilitic affection o( the liver gives do symptoms. Henochrecords cases in which icterus was associated with enlargement of 456 THE SPECIFIC INFECTIOUS DISEASES. the organ. Hochsinger denies the occurrence during the nursingperiod of any authentic case of syphilis of the liver with icterusor ascites. Somma, Fischl, and Kohts have described symptoms of cerebralsyphilis in infants that

Note About Images