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File:The diseases of children - medical and surgical (1900) (14804066153).jpg

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Congenital syphilis synovitis of both wrists

Identifier: diseasesofchildr00ashb (find matches)
Title: The diseases of children : medical and surgical
Year: 1900 (1900s)
Authors: Ashby, Henry, 1845-1908 Wright, G. A. (George Arthur), b. 1851 Northrup, William Perry
Subjects: Pediatrics
Publisher: New York : Longmans, Green
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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nic rheumatic arthritis well marked, which sub-sequently became an ordinary pulpy knee, just as occurs in adults ; the twoconditions may be seen co-existing in one joint. Case.—Chronic Rheumatic Arthritis.—Mary Jane E., age 13 years ; admitted Feb-ruary 25, 1884. No rheumatic or gouty history. Duration since August 1882, when shehad pains in her shoulders, which subsided in a week. Nine months ago had pain in lefthip, which lasted four months ; then the left knee was attacked ; both were swollen ;no other joint affected ; pains worse in wet weather ; not increased in bed ; sweats a gooddeal at nights ; urine often contains red lithates. On admission, well nourished; slighteczema of face ; heart sounds normal; right knee a little swollen ; no crackling or thicken-ing ; no osteophytes. Left knee, thickened synovial fringes ; well-marked crackling; edgesof both condyles distinctly lipped. Her condition improved with blistering and iodide ofpotassium, and she was sent out on March 15.
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Fig. 147.—Congenital Syphilitic Synovitis of both Wrists. Syphilitic Synovitis is occasionally met with ; we have, however, onlyseen a few cases of pure synovitis in the first few months of life in congeni-tally syphilitic children ; the most common condition is syphilitic telostitis.A subacute recurrent syphilitic synovitis occurring in older children is met 6/0 Diseases of the Joints with ; it sometimes rapidly subsides under antisyphilitic treatment, as in thefollowing instance ; but this is not always the case—it is sometimes ratherintractable. Case.—Syphilitic Synovitis of Knee.-—Jane B., age S years 3 months ; admitted Octo-ber 31, 1882. A history of syphilis in the brothers and sisters, of whom there have beentwelve, seven being dead ; patient herself had always been hearty ; two years ago the leftknee swelled without known cause, but recovered completely in fourteen days ; the eyeshad been bad since May 1882 ; the right eye was first affected, and the left was onlyatta

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