Syphilis - a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment (1921) (14773040575)

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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s Many patients with painful bones and joints, sometimes withconsiderable swelling, are sent to the roentgenologist for diag-nosis, and frequently no bone lesion can be detected by the x-ray;this is especially true in the early stages of syphilis. In suchcases the diagnosis must be made on general clinical and labora-tory grounds. From the roentgenologic standpoint such casesmay be confused with a bursitis or with the tearing loose of atendon, hence a careful history is of value to the operator inmaking his interpretations, especially as it is well known thatsyphilitic tissues often react very severely to injury. The bone lesions of congenital and acquired syphilis from thex-ray standpoint are quite the same, with the exception of thetypical osteochondritis of the former. However, the congenitalform shows a tendency to involve the diaphyses of long bonesand to affect a large number of bones. In common with themajority of observers we have found periostitis to be the most DIAGNOSIS 511
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Fig. 142.—A young girl fell from a chair to the floor; within a few weeks a largeswelling developed just below the elbow, which was at first thought by the surgeons tobe sarcomatous, but the Roentgen rays showed periostitis, which was definitely syphiliticin character. 512 SYPHILIS