The diseases of infancy and childhood (1910) (14763696442)

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



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me cases the bridge of the nose issharply depressed and forms a distind angle with the cartilaginousseptum (Plate XXVI.). This i n t ra-uterine deformity in the now-born infant has been studied by Epstein. Such infants suffer froma troublesome coryza and cannot breathe freely through the nose.They present enlargemenl o( the liver and spleen, and there may 452 TEE SPECIFIC INFECTIOUS DISEASES. be a few copper-colored discolorations on the skin of the foreheadand nose. The lips have a shiny, glossy appearance, and after atime may present distinct rhagades. Some days after birth thereis a diffuse syphilitic eruption of papules or vesicopapules, with theso-called diffuse induration of the skin of the palms of the hand andsoles of the feet, described by Hochsinger. Here and there discol-ored spots which were formerly mistaken for papules may be seen.The skin of the face may have a diffuse coppery color. Patches ofdiscolored skin appear and become confluent, the coryza and rhagades Fig. 89.
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Hereditary syphilis ; rhagades and mucous patches of the lips. along the lips and at the angle of the mouth become more marked, andthe rhagades bleed easily. In another class of cases the infant is born well nourished and hasa good color. Within from two to four weeks a general eruption ofpapules and vesico-papules appears. Some of the vesico-papules arepurulent, and after bursting dry up, leaving the surface covered withcrusts on a copper-colored base. In these cases the manifestationson the mucous membranes, including coryza, mucous patches, andrhagades are also gradually developed (Fig. 89). If the above symp-toms are marked, we may find enlargement of the liver and spleen.I have seen the most marked signs of hereditary syphilis of the skinwithout the slightest enlargement of the liver or spleen. As a rule, SYPHILIS. 453 the arms will present papules, which may ulcerate at the points ofcontact with adjacent surfaces of skin. The typical condyloma latais not frequent in early heredi