Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


#Diagnosis of Inherited Syphilis.#--When there is a typical eruption on
the buttocks and snuffles there is no difficulty in recognising the
disease. When, however, the rash is scanty or is obscured by co-existing
eczema, most reliance should be placed on the distribution of the
eruption, on the brown stains which are left after it has passed off, on
the presence of condylomata, and of fissuring and scarring at the angles
of the mouth. The history of the mother relative to repeated
miscarriages and still-born children may afford confirmatory evidence.
In doubtful cases, the diagnosis may be aided by the Wassermann test and
by noting the therapeutic effects of grey powder, which, in syphilitic
infants, usually effects a marked and rapid improvement both in the
symptoms and in the general health.

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