ing
somewhat erythema intertrigo.

The _papular_ eruption is observed in conjunction with the erythematous
manifestation, or it occurs alone. The lesions are but slightly
elevated, and seem to partake of the nature of both macules and papules.
They are usually discrete, and rarely abundant; they may become decked
with a film-like scale, and at the various points of junction of skin
and mucous membrane, and in the folds, they become abraded and
macerated, developing into _moist papules_.

The _bullous_ eruption consists of variously-sized, more or less
purulent blebs, and is usually met with at or immediately following
birth. It is most abundant about the hands and feet. Macules and papules
are often interspersed. There may be superficial or deep ulceration
underlying the bullae.

#What other symptoms in addition to the cutaneous manifestations are
noted in hereditary syphilis in the newborn?#

Mucous patches, and sometimes ulcers, in the mouth and throat;
hoarseness, as shown by the peculiar cry, and indicating involvement of
the larynx; snuffles, a sallow and dirty appearance of the skin, loss of
flesh and often a shriveled or senile look.

#What is the pathology of cutaneous syphilis?#

The syphilitic deposit consists of round-cell infiltration. The mucous
layer, the corium, and in the deep lesions the subcutaneous connective
tissues also, are involved in the process. The infiltration disappears
by absorption or ulceration. The factor now believed to be responsible
for the disease and the pathological changes is the Spirochaeta pallida,
discovered by Schaudinn and Hoffmann, and usually found in numbers in
the tissues.

#Give the prognosis of cutaneous syphilis.#

In _acquired syphilis_, favorable; sooner or later, unless the whole
system is so profoundly affected by the syphilitic poison that a fatal
ending ensues, the cutaneous manifestations disappear, either
spontaneously or as the result of treatment. The earlier eruptions will
often pass away without medication, but treatment is of material aid in
moderating their severity and hastening their disappearance, and is to
be looked upon as essential; in the late syphilodermata treatment is
indispensable. In the large pustular, the tubercular and gummatous
lesions, considerable destruction of tissue may take place, and in
consequence scarring result. Ill-health from any cause predisposes to a
relapse, and also adds to the gravity of the case.

In _her