The diseases of children : a short introduction to their study / by James Frederic Goodhart.
- Sir James Goodhart, 1st Baronet
- Date:
- 1891
Licence: Public Domain Mark
Credit: The diseases of children : a short introduction to their study / by James Frederic Goodhart. Source: Wellcome Collection.
Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.
689/774 page 663
![severe the more recently either or both parents have sntiered from the actjuired disease. When syphilis occurs at birth the child is likely to be a shrivelled-up mite with a feeble cry, and a skin of a coppeiy colour with scaling cuticle. The mouth and lips may be fissured and thick, the edge of the anus or buttocks ulcerated, and the .soles of the feet red or coppery and scaling. In the worst cases the entire body may be covered v.'ith moi.st and brownish scales or crusts, and here and there blebs containing serum or sero-purulent material—a state of things which has been called syphilitic pemphigus, though bullous syphilidewould be more appropriate. Most of these very early and severe cases die. They take food badly and become exhausted. If we take a case in somewhat oldei' infants, if tlie disease be severe, except that the child will in all probability be in plumper and bettei- condition, its sui'face will l)e much in the same state. Tlieie will proV)ably be a raised coppery eruption, w'ith delicate scales or scurf covering its surface, and with .serpi- ginous margin, spreading over the head, face, and ti unk. The eyebrows may have come out, the nose and lips will be thick and fissured, perhaps small mucous tubercles will be visible at the angles of the mouth or the corners of the eyes, the nasal mucous membrane thick and the child “snuffling”—some think from mucous patches here also ; there will very likely be bulhe or small ulcers about the penis and scrotum, condylomata about the anus, and scales of some thickness about the .soles of the feet, and jws- sibly the jialms of the hands. In the.se severe cases I think the liver and spleen are less likel}' to be afiected. In milder cases thei'e is snuffling, more or less of a .squamo-tubercular rash or a co]>pery roseola of iri'Cgular blotches, with fewer scales; perhaps a fis- sured anus, with condylomata. The syphilitic infant will sometimes present a dirty tint of face, called the](https://iiif.wellcomecollection.org/image/b24990449_0689.jp2/full/800%2C/0/default.jpg)
