Syphilitic lesions of the osseous system in infants and young children / by R.W. Taylor.
- Taylor, Robert W. (Robert William), 1842-1908
- Date:
- 1875
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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![gave vent to about a large teaspoonful of thick liealtliy pus. The resulting ulcer Avas of similar appearance to those of the finger, and was a very long time in healing, it being treated in a simihir manner. The eifusion into the joint was slowly ab- sorbed, the pain ceased, and in December tlie ulcer had filled up aud was covered by a cicatrix, which was slightly adliereut to the bone beneath. Upon manipulating the joint I foimd it was less mobile than natural, but I felt convinced that this condition would gradually cease by exercise of the parts. The abscess of the bone had not resulted in any very perceptible loss of tis- sue, and it was a matter of surprise to me that the reparative process had been so perfect. At my last observation of the child, January 5th, 1872, its syphilitic lesions had wholly dis- appeared, those of the osseous system having lasted respectively eleven months in the finger, and six months iji the foot. The mother of the two cliildren, the history of whose cases now follows, came under my observation in Novem- ber, ISYO, she being sent to me by my friend, Dr. W. H. Draper. She was then in the seventh month of her third pregnancy, and was also in the first year of syphilis. She had been infected by her husband when about three months preg- nant, and when first seen l)y me, having been syj^hilitic about four months, she was sulfering very severely with angina and laryngitis. S)ie had become markedly emaciated, and was very w^eak. About the vulva were large masses of very much hypertrophied condylomata lata, which had the bluish con- gested appearance of these lesions when developed during the gravid condition. Her body was covered with a very copio'as papular syphilide, and there were slightly pigmented spots over the whole surface of a roseola which had been her first rash and had faded. There was,a very well-marked cranial alopecia, and on each angle of the li^DS was a fissure which commenced in a mucous patch on the inner surface of these parts. Under the circumstances, I placed her upon an active mercurial course combined with tonics; besides this, the lesions of the mucous membrane were ti'eated locally. Early in Ja- nuary, 1871, she was delivered of a female child, M'hich at birth was well developed, and did not ])resent any evidence of syphilis. The mother had a severe relapse of her syphilis in March.](https://iiif.wellcomecollection.org/image/b20394378_0030.jp2/full/800%2C/0/default.jpg)
