In the course of my pediatric work at Leningrad, Dorpat, and at present at the recently founded university at Smolensk, I acquired a rich and varied clinical and pathologic experience in respect to newly born and young infants. From my observations during this work I am reporting a case of atrophic cirrhosis of the liver of syphilitic origin in a breast fed infant of 4 months. With this I am again citing some other forms of syphilitic cirrhosis, as well as my observations encountered in the course of melena neonatorum and of cardiac anomalies (not compatible with extra-uterine life) and a case of cirrhosis showing cysts of the liver (lymph angioma cysticum hepatis congenitum).1
Exhaustive search of the literature shows the excessive rarity of syphilitic cirrhosis of the liver at this age and particularly of the atrophic form.
The clinical characteristics, the pathologic anatomy and especially the accurate histologic