Common disorders and diseases of childhood / [George Frederic Still].

  • Still, G. Frederic (George Frederic), Sir, 1868-1941.
Date:
1909
Catalogue details

Licence: In copyright

Credit: Common disorders and diseases of childhood / [George Frederic Still]. Source: Wellcome Collection.

    713/792 (page 697)
    as clue to rickets alone. If I may simply state my own opinion, formed as the result of some special observation on this point, 1 should say that neither of these symptoms can be taken as evidence of syphilis ; that both of them are found far more often without syphilis than with it ; that both of them may be produced by rickets alone ; but that both of them are occasionally found with congenital syphilis apart from rickets. Of 100 cases of congenital syphilis under my observation only 2 showed Parrot’s nodes and both these showed rickets also. I think it is quite possible that under the name ‘ Parrot’s nodes ’ Fig. 40. Parrot’s nodes. Photograph of skull, showing characteristic Parrot s nodes. In this case there was roughening of the outer surface over the mosses, which had a honeycomb appearance : the child had both rickets and eongen syphilis. two conditions structurally different though resembling one another clinically are confused together, one being the iesu t o syphilis and the other of rickets ; at any rate I can a ini tom my own observation that these bosses on the skull show anatomical differences which seem to support this view. In some cases the thickening is found to be due to a very vascular thickening of the diploe, while the outer surface of the thickened part remains normally smooth; in other cases there is deposit of new bone on the outside of the skull which has a rough honeycomb appearance. The latter condition is ceitainly