Case 22.—Severe cutaneous syphilis with mild osseous lesions, chiefly periosteal.
T. L., a boy, aged 2 months, was admitted to the hospital on March 30, 1928, with snuffles of six weeks' duration and an eruption of two weeks' duration. Three years previously both the father's and the mother's blood gave a 4+ Wassermann reaction, and both parents were treated for a year rather intensively. At the end of this period they both had negative reactions, and had taken no further treatment. The mother had had one miscarriage at two months, eight years previously. The patient was born prematurely, it was thought, but weighed 7 pounds and 8 ounces (3,401.94 Gm.) at birth. On admission (weight not recorded), he showed extensive and severe cutaneous infiltration, and ulcerative lesions with crusting, bleeding and desquamation and a "purse-string" mouth, as shown in figure 32, snuffles, rhagades, some rigidity
McLEAN S. IV. THE CORRELATION OF THE CLINICAL PICTURE WITH THE OSSEOUS LESIONS OF CONGENITAL SYPHILIS AS SHOWN BY THE X-RAYS. Am J Dis Child. 1931;41(5):1128-1171. doi:10.1001/archpedi.1931.01940110122011