Congenital syphilis physical examination: Difference between revisions
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{{CMG}} | {{CMG}} | ||
{{Congenital syphilis}} | {{Congenital syphilis}} | ||
==Overview== | ==Overview== | ||
==Manifestations of congenital syphilis == | |||
===Skin=== | |||
*Early [[rash]] - small [[blister]]s on the palms and soles | |||
*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=== | |||
*[[Deafness]] | |||
===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 | |||
[[Image:Hutchinson_teeth_congenital_syphilis_PHIL_2385.rsh.jpg|Left|200px]] | |||
[[Image:Hutchinson_teeth_congenital_syphilis_PHIL_2385.rsh.jpg| | |||
*[[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 | *[[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=== | |||
*[[Enlarged liver]] | |||
*[[ | *[[Enlarged spleen]] | ||
*[[ | ===Extremities=== | ||
*[[Sabre shins]]: Saber shin is a sharp-edged anteriorly convex tibia. | |||
*[[lymphadenopathy|Lymph node enlargement]] | |||
*[[ | |||
*[[ | |||
*[[pseudoparalysis]] | *[[pseudoparalysis]] | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 21:19, 16 November 2012
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Manifestations of congenital syphilis
Skin
- Early rash - small blisters on the palms and soles
- Later rash - copper-colored, flat or bumpy rash on the face, palms, and soles
Head
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