Syphilitic lesions of the osseous system in infants and young children / by R.W. Taylor.

  • Taylor, Robert W. (Robert William), 1842-1908.
Date:
1875
Catalogue details

Licence: Public Domain Mark

Credit: Syphilitic lesions of the osseous system in infants and young children / by R.W. Taylor. Source: Wellcome Collection.

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    subsequently, they were again confirmed by Parrot, in Paris, who gives a point of some vabie in their cbnical history. The grand result of these observations has been to place the matter in a more precise light, to give science a standard to work upon, and to produce an impetus for observation which will finally lead to the dissemination of accurate clinical and patho- logical knowledge of these lesions. About a year prior to the publication of Wegner's article, a case came under my obser- vation, which, at the time, greatly interested and puzzled me. It led me to search literature thoroughly, and I finally found a few cases, which convinced me that my own was one of syph- ilitic origin. One of these cases, that of Panvier, was accom- panied by some interesting pathological details. Early in 1870 I read Wegner's article, and it fully confirmed my view, and it has since greatly assisted me in clearly intei-preting various features of other cases, which have, fortunately for me, fallen under my notice in the varioiis public charities with which I am connected, thi-ough the kindness of friends and in private practice. Though Wegner's article lends much assistance in the study of these lesions, the aid is wholly in the matter of patliology, as no clinical facts are given. Then again, on this division of the subject, it is not exliaustive, as it treats mainly of a certain form of lesion found at the junction of the diaphyses with the epiphyses of long bones, and it does not consider, at equal length, the syphilitic lesions of the short and flat bones; there- fore it is a contribution but to a'portion of the subject. Parrot's articles combine clinical and pathological facts, but in the former field he confines himself mainly to the appearances induced by separation of the epiphyses from the diaphyses, describing the resulting condition, a loss of motion, as a pseudo- paralysis. Antecedent and advanced stages are not touched upon, nor does he enter upon the study of diagnosis. In fact, it must be confessed that his papers are narrow in scope and desultory in conclusions. Wegner's article is certainly one of the most important recent additions to our knowledge of syphilis, and one which, by posi- tively stating the fact that these lesions are not uncommon, will tend in future to call attention to their study. It must, however, be said in justice to Ranvier, that he sketched the