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Updated: June 6, 2025
Now periostitis can hardly be called an amusing complaint, and I would have purchased a franc's worth of iodine for almost anybody on earth. Not then. On the contrary, I grew positively low-spirited when, after three more days, the lamentations began to diminish in volume. They were sweet music to my ears, at the time. They are sweeter by far, in retrospect.
In the Bones, lesions occur which assume the clinical features of an evanescent periostitis, the patient complaining of nocturnal pains over the frontal bone, sternum, tibiæ, and ulnæ, and localised tenderness on tapping over these bones. In the Joints, a serous synovitis or hydrops may occur, chiefly in the knee, on one or on both sides.
It was easy to diagnose periostitis, and prescribe tincture of iodine. "That will cost about a franc," she observed. "Very likely." "I think I'll wait." Next day the pain was worse instead of better. She would give anything to obtain relief anything! "Anything?" I inquired. "Then you had better have a morphia injection. I have had numbers of them, for the same trouble.
On the other hand, resolution may occur during the stage of periosteal inflammation, or, an exostosis forms which causes no interference with function. Before there is evidence of an exostosis, diagnosis of ringbone is not easy, for it is then a problem of detecting the presence of a ligamentous sprain, periostitis, or osteitis.
In the later stages of acquired syphilis, gummatous periostitis and osteomyelitis occur, and are characterised by the formation in the periosteum and marrow of circumscribed gummata or of a diffuse gummatous infiltration. The framework of the bone is rarefied in the area immediately involved, and sclerosed in the parts beyond.
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