xiii, b, 2 Maul: Bone and Joint Lesions of Yaws 73 



although he stated that his pains had left him, the lesions were 

 still evident by the X-ray after five months' treatment. 



CASE 7 



C. R., Filipino, 28 years old. The primary lesion was on the 

 right knee in September, 1911. Two months later the secondary 

 eruption appeared, after which there were violent rheumatoid 

 pains in the phalanges on the feet and hands. One year after 

 the initial lesion the distal phalanges were swollen and knoblike. 

 On February 10, 1917, the X-ray showed rarefication of the 

 terminal phalanges of the toes and thinning of the cortex of 

 the phalanges of the hands. He was given the Castellani treat- 

 ment, but he disliked the medicine, and the case could not be 

 followed. 



CASE 8 



F. P. (As this case is one from which the description of the 

 bone lesion has been made, a more detailed history will be given 

 as prepared through the kindness of Doctor Domingo, senior 

 house physician at the Philippine General Hospital.) General 

 data: Filipina, 27 years old. Married, housewife by occupa- 

 tion. Born in Paranaque, Rizal, and has lived there ever since. 

 She came to the Philippine General Hospital during the latter 

 part of January, 1917, complaining of pain in the bones and 

 joints, although she also presented several sores on the face, 

 scalp, and neck. Smokes five to seven cigarettes each day. 



Family history. — No history of tuberculosis or syphilis. Fa- 

 ther and mother living and well. Has seven brothers, one of 

 whom is in the United States, while the rest are in Paranaque. 

 All are living and well, except one, who has the same external 

 lesions as the patient. 



Personal history. — The patient had her first menses at the 

 age of 13 and married when 15 years of age. She has had four 

 children, one of whom died of suba, 3 one has bubas 4 at present, 

 and the other two are well. Has not had any miscarriages. Her 

 husband is living and well and has no history of venereal disease. 

 The youngest child is still nursing the mother. 



Previous illness. — None relevant to the present condition. 



Present complaint. — Primary lesion started in August, 1916, 

 as a small papule on the anterior aspect of the left ankle. It 

 was neither painful nor itchy. It continued to grow, and about 

 January 16, 1917, when the case was seen with Doctor Guerrero 

 at the Philippine General Hospital, the lesion was about 2 centi- 



• Infantile beriberi. ' Yaws. 



