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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![f ected metacarpal bone had diminished to nearly three-quarters of an inch ; there was a corresponding diminution in the size of the other. The dose of the mixture was then increased to twenty drops three times a day, and I may here say that during the whole period it was faithfully administered. In the early part of September these bone-lesions had entirely disappeared. I was not able to determine any difference in the size or shape of either of the second metacarpal bones, and the radius and ulna, which had been affected, were not perceptibly abnormal. At the time this case and that of the sister whose history imme- diately precedes it, were under my observation, I was struck with the peculiarity of the almost simultaneous coincidence of the development of osseous lesions in sisters, the one a victim of hereditary, the other of acqui]-ed, syphilis. Case IX.—James McE. came under my observation in Sep- tember, 1870. His father had been under my care for about fifteen months at the New York Dispensary, he having suffered severely fi-om syphilis dm-iug that time. The history of the syphilis in the mother was quite clear, she having been infected about a year previously. The child, which was the first, was born early in July, appearing well at birth, but breaking out with a general rash when about two months old. On this point I could not get positive information, but the mother thought that the child did not have a rash until then. It had at that time also snuffles, and was treated by my fiiend Dr. Grunhut, one of the physicians for children's diseases at the New York Dispensary. When first seen by me in September, the child seemed quite well developed, having considerable fatty tissue upon the body. It nursed from its mother's breast wholly, she having an abundance of milk. There was no history of any gastro-intestinal disorders, nor of any morbid symptom except the snuffles, with which the child had suffered severely. It had grown in weight during its life, and certainly looked well nourished. The anterior fontanelle was not abnormally large, and the others were closed. There were no soft spots or thinned places on any of the cranial bones. My questions also elicited the facts which follow. When about two months old, the mother observed tliat the bones of both forearms became swol- len just above the wrists. Yery shortlv afterwards the bones](https://iiif.wellcomecollection.org/image/b20394378_0035.jp2/full/800%2C/0/default.jpg)
