Late congenital syphilis

Late congenital syphilis

Late congenital syphilis is a subset of cases of congenital syphilis. By definition, it occurs in children at or greater that 2 years of age who acquired the infection trans-placentally.

Symptoms includehttp://www.pitt.edu/~SUPER1/lecture/lec13881/016.htm]
*blunted upper incisor teeth known as Hutchinson's teeth
*inflammation of the cornea known as interstitial keratitis
*deafness from auditory nerve disease
*frontal bossing (prominence of the brow ridge)
*saddle nose (collapse of the bony part of nose)
*hard pallet defect
*swollen knees
*saber shins
*short maxillae
*protruding mandible

A frequently-found group of symptoms is Hutchinson's triad, which consists of Hutchinson's teeth (notched incisors), keratitis and deafness and occurs in 63% of cases.

Treatment (with penicillin) before the development of late symptoms is essential. [ [http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5106a1.htm#CongSyphilis Sexually Transmitted Diseases Treatment Guidelines - 2002 ] ]

References


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