口蓋破裂を來せる先天性黴毒の1例

　我々の耳鼻咽喉科を訪ねる先天性黴毒患者では生後間もなく鼻閉塞を主訴として來る初生兒鼻炎が多く，又實際先天性黴毒の80％は生後2カ月以内に症状を現わして來ると云われ，6カ月以後に注目せられるのは極少數と云われている。所が我々は3年半前に外來に於て8才の少女に見られた比較的珍しい所謂晩發性先天性黴毒で，而も口蓋破裂を來たした1例を經驗したので茲に報告する。

NAKAMURA and OKA report a case of congenital syphilis that causeda cleft palate by a large perforation. The patient, a girl 8 years of age, who had been always healthy, was brought to consultation because of a membra-nous lesion found on the uvula, Examination showed, besides the latter lesion, a small per-foration on the soft palate. Laboratory exami-nations in bacterial culture from the lesion, leucocyte count and tuberculin test poved to be nagative, excepting, tee test for syphilis which was str ngly positive, not only, for the patient but also for both parents. Antisyphi-llitic measure was instituted but with n) effect on the progress of the lesion; the membrane which was formed on the uvula now caused it to be divided with a fissure which joined with the perforation in the center of the soft pala e and finally created a large triangular opening. At tahe end of 3 years at present writi g, this opening may have decreased in size but not to an appreciable extent; the blood pictare is strongly positive for syphilis.