Congenital syphilis physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===Skin=== | ===Skin=== | ||
*Early [[rash]] - small [[blister]]s on the palms and soles | *Early [[rash]] - small [[blister]]s on the palms and soles<ref name="pmid3288424">{{cite journal| author=Wendel GD| title=Gestational and congenital syphilis. | journal=Clin Perinatol | year= 1988 | volume= 15 | issue= 2 | pages= 287-303 | pmid=3288424 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3288424 }}</ref> <ref name="pmid16649151">{{cite journal| author=Kremenová S, Zákoucká H, Kremen J| title=[Issues of congenital syphilis in the past twenty years. II. Clinical picture]. | journal=Klin Mikrobiol Infekc Lek | year= 2006 | volume= 12 | issue= 2 | pages= 51-7 | pmid=16649151 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16649151 }} </ref> | ||
*Later rash - copper-colored, flat or bumpy rash on the face, palms, and soles | *Later rash - copper-colored, flat or bumpy rash on the face, palms, and soles | ||
===Head=== | ===Head=== | ||
Revision as of 18:57, 15 February 2017
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kalsang Dolma, M.B.B.S.[2]
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Physical Examination
Skin
- Early rash - small blisters on the palms and soles[1] [2]
- Later rash - copper-colored, flat or bumpy rash on the face, palms, and soles
Head
- Frontal bossing
- Poorly developed maxillae
Eyes
- Corneal clouding
- Interstitial keratitis (IK), an inflamation of the cornea which can lead to corneal scarring and potentially blindness
- Anemia
- Jaundice
Ears
Nose
- Snuffles, the name given to rhinitis in this situation. When chronic, this can lead to saddle nose deformity.
- Rhagades, linear scars at the angles of the mouth and nose result from bacterial infection of skin lesions
Throat
Shown below is an image of Hutchinson's teeth
- Hutchinson's Triad, a set of symptoms consisting of deafness, Hutchinson's teeth (centrally notched, widely-spaced peg-shaped upper central incisors), and interstitial keratitis (IK), an inflamation of the cornea which can lead to corneal scarring and potentially blindness
- Mulberry molars (sixth year molars with multiple poorly developed cusps)
Abdomen
Extremities
- Sabre shins: Saber shin is a sharp-edged anteriorly convex tibia.
- Lymph node enlargement
- Pseudoparalysis
References
- ↑ Wendel GD (1988). "Gestational and congenital syphilis". Clin Perinatol. 15 (2): 287–303. PMID 3288424.
- ↑ Kremenová S, Zákoucká H, Kremen J (2006). "[Issues of congenital syphilis in the past twenty years. II. Clinical picture]". Klin Mikrobiol Infekc Lek. 12 (2): 51–7. PMID 16649151.