On several occasions young girls from 5 to 18 years of age have been shown at meetings of the Chicago Dermatological Society, who presented undoubted lesions of tertiary syphilis, without a history of extragenital infection or previous eruptions of syphilis, and in whom none of the triad symptoms of hereditary syphilis was present. In the discussion of these cases it was apparent that a difference of opinion existed as to whether these were cases of extragenital infection or cases of long periods of latency in hereditary syphilis. The question which arose was: Can hereditary syphilis manifest itself for the first time some years after birth by the presence of such late lesions as occur in the acquired form, and with a total absence of triad symptoms?
That long periods of latency is one of the chief charasteristics of acquired syphilis there can be no doubt
R. R. CAMPBELL. THE CONSIDERATION OF LATE HEREDITARY SYPHILIS.. JAMA. 1904;XLIII(5):309–313. doi:10.1001/jama.1904.92500050001e