258 HEREDITARY SYPHILIS. 



Mr. Coleman exhibited models of Teeth illustrative of Mr. Hutchin- 

 son's paper on Hereditary Syphilis, and made the following communi- 

 cation : — 



The patient, a young woman twenty-two years 

 of age, came to St. Bartholomew's Hospital about 

 the latter end of last summer, with a large indolent 

 ulcer over the middle of the tibia ; and, as is the 

 case sometimes with these ulcers at her period 

 of life, it was vicarious in its functions with the 

 uterus. After being in the hospital some time, 

 with good treatment, the ulcer ceased to discharge 

 at the catamenial period, the uterus resuming its 

 proper office. The case was interesting because 

 the diagnosis was made entirely through the teeth, 

 by Mr. Paget, who has often informed me that he 

 has found this symptom very serviceable in assist- 

 ing him to arrive at a correct diagnosis. I should 

 state that various methods were adopted to cause 

 the ulcer to heal ; viz., by incisions round the 

 ulcer, followed by attempts to draw its margins 

 together, but without success ; and the limb was 

 eventually amputated. Being anxious to ascer- 

 tain the correctness of the diagnosis, I took an 

 opportunity of seeing the patient's mother, who 

 informed me that the child had always been very 

 delicate ; that during her infancy she had suffered 

 from a rash upon the buttocks, and severe snuffles ; 

 that she (the mother), had been married twice, 

 and had had seven children by the first marriage, 

 and six by the second ; and that of the issue of 



