Years after cure has apparently resulted, patients are more liable to
certain nervous disorders, as locomotor ataxia, which attacks
practically only syphilitics; and general paresis, of which
seventy-five per cent of the cases occur in those who have had
syphilis.
=Inherited Syphilis.=--Children born with syphilis of syphilitic
parents show the disease at birth or usually within one or two months.
They present a gaunt, wasted appearance, suffer continually from
snuffles or nasal catarrh, have sores and cracks about the lips, loss
of hair, and troublesome skin eruptions. The syphilitic child has been
described as a "little old man with a cold in his head." The internal
organs are almost invariably diseased, and sixty to eighty per cent of
the cases fortunately die. Those who live to grow up are puny and
poorly developed, so that at twenty they look not older than twelve,
and are always delicate.
It is to be noted that syphilis is not necessarily a venereal disease,
that is, acquired through sexual relations. It may be communicated by
kissing, by accidental contact with a sore on a patient's body, by the
use of pipes, cups, spoons, or other eating or drinking utensils, or
contact with any object upon which the virus of the disease has been
deposited.
Any part of the surface of the body or mucous membrane is susceptible
of being inoculated with the virus of syphilis, followed by a sore
similar to what has been described as occurring upon the genital parts
and later the development of constitutional symptoms. The
contagiousness of the disease is supposed to last during the first
three years of its existence, but there are many authentic cases of
contagion occurring after four or five years of syphilis.
=Diagnosis.=--The positive determination of the existence of syphilis
at the earliest moment is of the utmost importance in order to set at
rest doubt and that treatment may be begun. It is necessary to wait,
however, until the appearance of the eruption, sore throat,
enlargement of glands, falling out of hair, etc., before it is safe to
be positive.
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