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October 1940


Arch Derm Syphilol. 1940;42(4):733-749. doi:10.1001/archderm.1940.01490160193026

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"Open Bite" in Association with Prenatal Syphilis. Presented by Dr. Bertram Shaffer.  C. J. S., a healthy Negro boy aged 12 years, has a somewhat suggestive facies, bilateral palpable epitrochlear lymph nodes, an external squint of the left eye, hutchinsonian incisors and the peculiar dental deformity for which he is presented. The anterior part of the upper dental arch is raised, so that it is impossible to bring the upper and lower incisors into approximation. A diagnosis of congenital syphilis was made on Dec. 31, 1927, because of a positive serologic reaction of the blood and roentgenographic evidence in the long bones. He was treated until 1933, with thirty-three injections of sulfarsphenamine and forty-four injections of bismuth and potassium tartrate. Examination of the cerebrospinal fluid on Jan. 23, 1940 gave negative reactions.

DISCUSSION  Dr. J. V. Klauder: The "open bite" is, I believe, the least mentioned of the three most

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