Text Appearing Before Image: e of the en-tire face is seen, especially about the anterior naresand the mouth. The syphilitic infiltrate is particularlydense and deep. Radiating fiuTOWs are seen, whichwill later on form radiating scars, characteristic ofheredosyphilis. In one of the mucous patches aboutthe angle of the jaw treponemata pallida were found. This child was born of a sypliilitic mother, whohad early secondary manifestations of the disease.Four weeks after birth there appeared an eruption onthe body of the child followed by that on the face.Aside from the presence of the treponema pallidumin the lesions and otherwise characteristic syphiliticchanges, the eruption is not likely to be confused withany other disease. Eczema might be thought of wereit not that in eczema we do not find the individual pap-ules and vesicles, and there is no marked formationof crusts. The penetrating character of the infiltrateand the formation of the radiating fissures are againsta diagnosis of eczema. 160 Plate XXIII. Fig. 26 Text Appearing After Image: PLATE XXIV Figure 27.—Syphilis Hereditaria Tarda(Late Heredosypliilis) Figure 27.—Syphilis Hereditaria Tarda(Late Heredosyphilis) This is a typical case showing the entire stigmataof heredosyphilis. This case shows, besides tlie well-known Hutchinson triad (parenchymatous keratitis,otitis and Hutchinson teeth), a marked protrusion ofthe frontal protuberances, saddle nose and radiatingscars about the mouth. The radiating scars in thevermilion and skin, which have come from the deepfissures in the syphilitic infiltrate, are pathognomonicof heredosyphilis. (Compare Fig. 26.) 164 Plate XXIV. Fig. 27
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