In syphilis haemorrhagica neonatorum the child may be born
healthy, or just after birth there may appear extensive cutaneous
extravasations with bleeding from the mucous surfaces and from
the navel; the child may become deeply jaundiced. Postmortem
examination shows extensive extravasations into the internal
viscera, and also organic syphilitic lesions.
Winckel's disease, or epidemic hemoglobinuria, is a very fatal
affection, sometimes epidemic in lying-in institutions; it
develops about the fourth day after birth. The principal symptom
is hematogenous icterus with cyanosis,--the urine contains blood
and blood-coloring matter. Some cases have shown in a marked
degree acute fatty degeneration of the internal organs--Buhl's
disease.
Apart from the common visceral hemorrhages, the results of
injuries at birth, bleeding from one or more of the surfaces is a
not uncommon event in the new-born, particularly in
hospital-practice. According to Osler Townsend reports 45 cases
in 6700 deliveries, the hemorrhage being both general and from
the navel alone. Bleeding also occurs from the bowels, stomach,
and mouth, generally beginning in the first week, but in rare
instances it is delayed to the second or third.
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