Syphilis - a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment (1921) (14772707092)
Zusammenfassung
Identifier: syphilistreatise00haze (find matches)
Title: Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment
Year: 1921 (1920s)
Authors: Hazen, H. H. (Henry Honeyman), b. 1879
Subjects: Syphilis Syphilis
Publisher: St. Louis : C.V. Mosby Co.
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School
Text Appearing Before Image:
Fig. 148.—In a so-called Charcots hip, there was periostitis of the descending ramus of the ischium. tiate from nonluetic osteomyelitis; sequestra formation is ratherrare. Charcots joint is a chondro-osteolysis usually associated withtabes dorsalis, although it may occur where there is no demon-strable cord lesion. The destruction of the cartilages and of the DIAGNOSIS 521
Text Appearing After Image:
Fig. 149.—In this advanced Charcot joint, occurring in a tabetic, there were definitesyphilitic changes in the periosteum. 522 SYPHILIS head of the bone may be so complete as to give rise to luxation ora flail joint. Effusion is usually present. The roentgenogram israther characteristic and shows destruction of the head of thebone and of the cartilage, often with some misplaced fragments.Inasmuch as in a study of about a dozen cases we have foundperiostitis and other evidences of syphilis, and inasmuch as wehave found a similar picture in at least one active case of syph-ilis where there was no cord lesion we feel that in the majorityof instances the so-called Charcots joint is a true syphilitic lesiondue to the local action of the treponema. However, Baetjerstates that the condition may arise with syringomyelia. Spine By most authors the spine is not mentioned as the site of syph-ilitic processes; however, in the past few years considerable lit-erature has accumulated upon this sub