File:Syphilis - a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment (1921) (14586309100).jpg

Identifier: syphilistreatise00haze (find matches)
Title: Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment
Year: 1921 (1920s)
Authors: Hazen, H. H. (Henry Honeyman), b. 1879
Subjects: Syphilis Syphilis
Publisher: St. Louis : C.V. Mosby Co.
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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whole stomach wall or merely portionsof it may be involved, and that usually it is involved through-out its entire thickness. Miliary gummata, with syphiliticchanges in the vessels and some diffuse infiltration are found. Syphilis of the Intestines.—While congenital syphilis of thestomach seems to be rare that of the intestines is much morefrequent, although all of our reports come from the autopsyroom. Councilman^^ has revicAved the reports of Kundrat andMrazek, Baumgarten, Wagner and Chiari. He states that thelesions are usually found in the small intestine, but that theymay occur in the large. In general there are tAVo forms, one CONGENITAL SYPHILIS 427 where only the Peyers patches or solitary glands are involvedand one where the disease is scattered irregnlarly throughoutthe whole of the small intestine. The histologic findings aresimilar to those occurring in the stomach. At times there maybe an adhesive peritonitis. Other cases have been reported byFraenkeP- and by Biittner.
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Fig. 13L—In congenital syphilis the intestines may show changes that resemble those inother organs. (Collection of Drs. Fordyce and MacKee.) Syphilis. of the Liver.—Rolleston^^ gives an excellent ac-count of congenital syphilis of the liver. Giibler^* first de-scribed the disease in 1852. Lancereaux^° gives an admirablehistorical review of the subject. Hepatic syphilis is extremelycommon in congenital syphilitics, Hofmeister^* putting the fig-ures at 39 per cent and Feige at 65 per cent. Rolleston con- 428 SYrniTJS l-ig 132.-In congenital sy).hilis the Hver is frenuently involved. The first changes areinterstitial in character. (Collection of Drs. Fordyce and MacKee.) siders that there are three main types, that occurring at thesame time that the secondary manifestations appear, the tar-dive type, and the multilobular cirrhosis that supervenes inlater life. In the first type the child may be born healthy and CONGENITAL SYPHILIS 429 the lesions develop rapidly, or the child may be

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