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.
691/774 page 665
![skin in the centre healthy, and not altogether nnlike patches of tinea. Bullous eruptions are not very uncommon, but the bulhe are often only represented by circular or oval superficial abrasions or crusts. t)nce I have seen a condition intermediate between these two cases last mentioned—a child of four months, in whom, distributed over the body, but chiefly on face and scalp, were slightly raised circular flat brownish spots, which vesicated superficially, and then dried in the centre into a brown crust. The condition spread l)y cii'cular ripples, and left super- ficial ulcers, which rapidly healed under mercurial treatment. In bad cases the skin generally will assume a brown, thickened, washdeathery consistence, from difi’used chronic dermatitis. Syphilis sometimes causes extreme anaemia. Laryngitis is very common, as may be judged from the fre(|uency with which hoarseness is met with. Henoch attributes this, and no doubt with some pro- bability, to the formation of mucous tubercles about the larynx ; but, so far as is actually known, a moie general thickening of the mucous membrane of the epiglottis takes place, such as is so common in adult life. Sometimes extensive ulceration occurs; an instance of this, in an infant of four months, I have alread}' recorded in Chapter XX. (p. 302), when dealing with diseases of the larynx. Soniewhat severe laryngeal symptoms occurred eleven times in the series of cases given, but in one case 1 am not sure that they may not have been due to iodisru. 'Plie child was three months old, and was only taking fifteen drops of the syru[) of the iodide of iron three times a-day. This it had done for ten days, a grain of hyd. c. crct. being given twice daily in addition. Suddenly, when the macular .syphilide was di.s.a,p]>earing, a most profu.se muco-purulent discharge Ix-gan to come from the no.se, with much hoai'seness also, and subsc(|uently angry boils appeai'cd in various parts of the bod}’.](https://iiif.wellcomecollection.org/image/b24990449_0691.jp2/full/800%2C/0/default.jpg)
