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

  • Taylor, R. W.
Date:
1875
Catalogue details

Licence: Public Domain Mark

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

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    I examined the father in December, and ascertained that lie had had a chancre and secondary lesions within the year. Case VII.—Minnie O, the infant daughter of this woman, was brought to me in March of the same year for treatment. I ascertained that, when a month old, the child had had rose- ola, mucous patches, and coryza, and at this time she had be- come cross and peevish. The urgent symptoms, when seen by me, were the coryza, mucous patches, and emaciation of the child. I ordered it, then, appropriate internal and local treat- ment, and did not see it again until about the middle of June of the same year. At this time I observed serious lesions of the bones and joints, and that the mucous patches in the mouth still persisted. The child's left arm was semiflexed, and it showed a disposition to protect it from handling and from any slight blow. Its mother said that it had held it in this position for nearly two weeks, and that it was evident that it was painful. Upon examination, I found that the elbow-joint was swollen, and that it was very hot to the touch. There was a swelling in the upper part of the olecranon pro- cess, which was uneven, particularly on its superior surface. This swelling, which I could distinctly define as belonging to the bone, was fully as large as a chestnut. There was con- siderable effusion into the elbow-joint, which was most per- ceptible to palpation on its posterior aspect. Though I used some force, I was wholly unable.to fully extend the arm. On the other arm I found a swelling, about the size of a pea-nut, just above and almost upon the internal condyle of the hume- rus. The swelling was not very prominent, and to the touch appeared smooth and rounded. There was no impairment of the use of the joint, no perceptible effusion, and no unnatural po- sition of the limb. On the same arm I found a slight enlarge- ment of the radius, just above its styloid process. This swell- ing seemed to be developed around the circumference of the bone. There was no interference by it of the working of the wrist-joint, or of pronation or supination. Upon the right lea-, involving the portion of the tibia and fibula which correspond to the point of union of the lower epiphyses with the shafts, was a large swelling just above and merging into each malleolus, which •appeared somewhat quadrangular. Though carefully examined