Congenital syphilis physical examination
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Manifestations of congenital syphilis
- abnormal x-rays
- 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)
- frontal bossing
- poorly developed maxillae
- enlarged liver
- enlarged spleen
- petechiae
- other skin rash
- sabre shins
- anemia
- lymph node enlargement
- jaundice
- pseudoparalysis
- 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
Death from congenital syphilis is usually through pulmonary hemorrhage.