Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


Syphilitic diseases of bone are much less common in practice than those
due to pyogenic and tuberculous infectious, and they show a marked
predilection for the tibia, sternum, and skull. They differ from
tuberculous affections in the frequency with which they attack the
shafts of bones rather than the articular ends, and in the comparative
rarity of joint complications.


_Evanescent periostitis_ is met with in acquired syphilis during the
period of the early skin eruptions. The patient complains, especially at
night, of pains over the frontal bone, ribs, sternum, tibiae, or ulnae.
Localised tenderness is elicited on pressure, and there is slight
swelling, which, however, rarely amounts to what may be described as a
_periosteal node_.

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