Congenital syphilis x ray: Difference between revisions
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==Overview== | ==Overview== | ||
All infants delivered of women with a reactive STS (serologic tests for syphilis) who were not treated before pregnancy or before 20 weeks' gestation should be fully evaluated. The evaluation should include an examination of the long bones for [[osteochondritis]], [[osteitis]], and [[periostitis]].<ref name="urlGuidelines for the Prevention and Control of Congenital Syphilis">{{cite web |url=http://www.cdc.gov/mmwr/preview/mmwrhtml/00026330.htm |title=Guidelines for the Prevention and Control of Congenital Syphilis |format= |work= |accessdate=2012-12-21}}</ref> | All infants delivered of women with a reactive STS (serologic tests for syphilis) who were not treated before pregnancy or before 20 weeks' gestation should be fully evaluated. The evaluation should include an examination of the long bones for [[osteochondritis]], [[osteitis]], and [[periostitis]].<ref name="urlGuidelines for the Prevention and Control of Congenital Syphilis">{{cite web |url=http://www.cdc.gov/mmwr/preview/mmwrhtml/00026330.htm |title=Guidelines for the Prevention and Control of Congenital Syphilis |format= |work= |accessdate=2012-12-21}}</ref> | ||
==X Ray== | |||
====X-Ray==== | |||
*Skeletal survey in a [[still born]], typical [[osseous lesions]] are demonstrated in [[congenital syphilis]]. | |||
====Long Bone Radiographs==== | |||
*Radiographs typically demonstrate bilateral, symmetric, and [[polyostotic]] lesions in [[femur]], [[humerus]], and [[tibia]].<ref name="pmid2584243">{{cite journal| author=Rasool MN, Govender S| title=The skeletal manifestations of congenital syphilis. A review of 197 cases. | journal=J Bone Joint Surg Br | year= 1989 | volume= 71 | issue= 5 | pages= 752-5 | pmid=2584243 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2584243 }} </ref><ref name="pmid8609122">{{cite journal| author=Kocher MS, Caniza M| title=Parrot pseudoparalysis of the upper extremities. A case report. | journal=J Bone Joint Surg Am | year= 1996 | volume= 78 | issue= 2 | pages= 284-7 | pmid=8609122 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8609122 }} </ref> | |||
*Common findings on [[radiographs]] include: | |||
**[[Metaphyseal]] lucent bands | |||
**Symmetric localized demineralization and [[osseous]] destruction of proximal [[tibial]] [[metaphysis]] | |||
**[[Metaphyseal]] serration | |||
==References== | ==References== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]
Overview
All infants delivered of women with a reactive STS (serologic tests for syphilis) who were not treated before pregnancy or before 20 weeks' gestation should be fully evaluated. The evaluation should include an examination of the long bones for osteochondritis, osteitis, and periostitis.[1]
X Ray
X-Ray
- Skeletal survey in a still born, typical osseous lesions are demonstrated in congenital syphilis.
Long Bone Radiographs
- Radiographs typically demonstrate bilateral, symmetric, and polyostotic lesions in femur, humerus, and tibia.[2][3]
- Common findings on radiographs include:
- Metaphyseal lucent bands
- Symmetric localized demineralization and osseous destruction of proximal tibial metaphysis
- Metaphyseal serration
References
- ↑ "Guidelines for the Prevention and Control of Congenital Syphilis". Retrieved 2012-12-21.
- ↑ Rasool MN, Govender S (1989). "The skeletal manifestations of congenital syphilis. A review of 197 cases". J Bone Joint Surg Br. 71 (5): 752–5. PMID 2584243.
- ↑ Kocher MS, Caniza M (1996). "Parrot pseudoparalysis of the upper extremities. A case report". J Bone Joint Surg Am. 78 (2): 284–7. PMID 8609122.