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Updated: May 7, 2025
The baby, usually under six months, is noticed to be feverish and fretful and to cry when touched. The mother discovers that the pain is caused by moving a particular limb, usually the arm, as the humerus, radius, and ulna are the bones most commonly affected; the limb, moreover, hangs useless at the side as if paralysed, and the condition was formerly described as syphilitic pseudo-paralysis.
The infant cries when the part is touched; and as it does not move the limb voluntarily, the condition is spoken of as the pseudo-paralysis of syphilis. Recovery takes place under anti-syphilitic treatment and immobilisation of the limb. Diffuse thickening of the shafts of the long bones, due to a deposit of new bone by the periosteum, is sometimes met with.
Very commonly the child ceases to move one of his lower limbs pseudo-paralysis and screams if it is touched; a swelling is found over one of the bones, usually the femur, accompanied by exquisite tenderness; the skin is tense and shiny, and there may be some œdema.
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