394 
In this case the knowledge of the occurrence of non-venereal 
syphilis led one to inquire about the eruption. This, together with 
the glands, the primary and the cachexia, leave no doubt as to the 
diagnosis. Chicken-pox, of course, does not continue in crops for 
several weeks. 
Case 22.—V. T.; 4 years; Black. 
Mother was treated for a copious syphilitic rash eighteen months before. The 
patient was treated for an eruption some months ago. Now has a papular rash 
(lichen) over neck and shoulders. There are patches of weeping and exfoliating 
dermatitis over each side of forehead, on both scapulae, and on back of shoulders. 
This is too old for hereditary syphilis. It is not unreasonable to 
attribute the rashes to syphilis acquired from the mother. 
Case 23. — R. S.; 5 years; Coloured. 
I 9 ° 5 - Multiple ecthymatous sores encrusted with yellow scabs on the legs. 
I.arge patch of the same on the left thigh, and a flat condylomatous spot with 
dry yellow crust among the ecthymata. Pigmented marks of large pustules about 
the body generally. Keratitis of one eye. Treated with mercury. 
December 20th, 1905. Eruptions have disappeared, leaving no scars, but 
pigmented stains which subsequently faded. Admitted to Hospital for corneal 
ulcer and treated till well with mercury internally. 
Here, as in the last case, there was no primary to be found, but the 
condition was evidently syphilitic, the age too late for secondaries of 
inherited taint. The eruption was one like frambesia, and even 
presented one spot of condyloma. The crusts, however, did not cover 
hypertrophied papillae, but eroded spots. 
< ask 24.— M. D.; 3 years; Black. Mother seen on 28th October, 1902, with 
pro use eruptions of circular patches of scaly psoriasis over whole body, limbs 
January 5th, 1904. T he child has a multiple eruption over both arms and 
e gs and back, of scaly psoriasis; patches of lichen in spots: and circinate and 
exfoliating dermatitis. 
The age is too late for the secondaries of inherited syphilis; 
besides the mother has acquired syphilis only about fourteen months 
before. If the child had inherited syphilis from the father the mother 
would have been immune, by Colfcs* law. It is clearly an instance of 
acquisition from the mother. 
( ASE 25.—N. P.J 8 years; Black. 
originated* fmm I9 ° 3 ’ U * Cer ’ 50 nim - wide on the dorsum of the left foot, which 
surface S , C ' atCh * hree mon,hs “6°. This has a raised touting 
large gland in right* 6 r . &1S . e f everted edges. A very large gland in the left groin, 
neck Has int/ . groln ’ g and in left elbow . and chains of shottv glands in the 
a desouamatinn cn H V eV "’ a " d with drv hard stool! There is 
ie %r ° f t " 6 and 
both 
