Congenital syphilis ultrasound: Difference between revisions
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===Doppler Studies=== | |||
[[Doppler ultrasound]] of the [[uterine]] and [[umbilical]] [[arteries]] show increase in the mean [[systolic]] to [[diastolic]] ratios in mothers infected with [[syphilis]] indicating an increased resistance to [[perfusion]] of the [[placenta]] secondary to [[vasculitis]], placental villitis and obliterative arteritis caused by [[syphilis]].<ref name="Genc2000">{{cite journal|last1=Genc|first1=M.|title=Syphilis in pregnancy|journal=Sexually Transmitted Infections|volume=76|issue=2|year=2000|pages=73–79|issn=13684973|doi=10.1136/sti.76.2.73}}</ref> | [[Doppler ultrasound]] of the [[uterine]] and [[umbilical]] [[arteries]] show increase in the mean [[systolic]] to [[diastolic]] ratios in mothers infected with [[syphilis]] indicating an increased resistance to [[perfusion]] of the [[placenta]] secondary to [[vasculitis]], placental villitis and obliterative arteritis caused by [[syphilis]].<ref name="Genc2000">{{cite journal|last1=Genc|first1=M.|title=Syphilis in pregnancy|journal=Sexually Transmitted Infections|volume=76|issue=2|year=2000|pages=73–79|issn=13684973|doi=10.1136/sti.76.2.73}}</ref> | ||
{{Congenital syphilis}} | {{Congenital syphilis}} | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 18:37, 15 February 2017
Overview
Antenatal ultrasound in congenital syphilis demonstrates features such as hepatosplenomegaly, placentomegaly and hydops. Doppler studies shows an increase in the mean systolic and diastolic ratio.
Ultrasound
Antenatal sonographic features include:[1][2]
- Fetal hepatosplenomegaly
- Placentomegaly
- Fetal ascites
In severe cases findings include:
- Fetal hydrops
- Bent fetal long bones
Doppler Studies
Doppler ultrasound of the uterine and umbilical arteries show increase in the mean systolic to diastolic ratios in mothers infected with syphilis indicating an increased resistance to perfusion of the placenta secondary to vasculitis, placental villitis and obliterative arteritis caused by syphilis.[3]
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References
- ↑ https://radiopaedia.org/articles/in-utero-syphilis-infection. Accessed on September 28th, 2016.
- ↑ Reyna-Figueroa J, Esparza-Aguilar M, Hernández-Hernández Ldel C, Fernández-Canton S, Richardson-Lopez Collada VL (2011). "Congenital syphilis, a reemergent disease in Mexico: its epidemiology during the last 2 decades". Sex Transm Dis. 38 (9): 798–801. doi:10.1097/OLQ.0b013e31821898ca. PMID 21844732.
- ↑ Genc, M. (2000). "Syphilis in pregnancy". Sexually Transmitted Infections. 76 (2): 73–79. doi:10.1136/sti.76.2.73. ISSN 1368-4973.