Diseases of the skin : a manual for practitioners and students / by W. Allan Jamieson.

  • William Allan Jamieson
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the skin : a manual for practitioners and students / by W. Allan Jamieson. Source: Wellcome Collection.

    697/740 page 629
    the nostril over the lip, or on the cheek, or backwards to the throat, and downwards to the gums. There may he a mistake in a partially treated case, where cicatrisation1 has resulted from application of the cautery. In rhinoscleroma spontaneous in- volution and atrophy only occur after many years, and there are no features which point to a specific origin. Enoptions in inherited Syphilis.—While the cutaneous mani- festations of acquired syphilis in the infant are identical with those in the adult, those dependent on inherited taint exhibit certain peculiarities and variations. One reason is probably the mode in which the disease is transmitted. The mother fre- quently, too frequently to be a mere accident, manifests no obvious symptoms of syphilis at all, yet that she participates may be concluded from three circumstances. 1st. That she never becomes infected through suckling or handling her diseased offspring, in accordance with Colles' Law. 2d. That if again pregnant she usually bears a syphilitic child, though possibly a more robust infant than her earlier ones, or she may abort more than once. 3d. That such women occasionally develop gummatous lesions at a later period, which are deceptive, inasmuch as there may be no history of any primary or secondary symptoms ascertainable.2 Should such infants be born healthy, the faulty condition nearly always gives evidence of its presence within the first three months, and seldom before the second or third week after birth. Syphilitic children vary in their general aspect at birth; some are thin, puny, and weakly, others are plump and well nourished. As a not invariable rule, the child soon wastes and pines, all the more so if artificially fed. The skin in particular loses its transparency, and becomes dingy, muddy, and yellowish, with a harsh and dry surface, while it is wrinkled and furrowed from diminution of subcutaneous fat. Its whole appearance is 1 Lang, Vorlcsungen ueber Pathologic unci Thcrapic der Syphilis, 1886. 3 Rub], Ueber lues congenita tarda, Leipzig, 1887, p. 45.
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