Late congenital syphilis

237 Late congenital syphilis



Instruction


Look at this patient.



Salient features



History




• Hearing loss


• Arthritis from Clutton’s joints


• Eye pain (from intersititial keratitis).



Examination




• Collapsed bridge of the nose (saddle nose or Zaufal’s sign) (Fig. 237.1)


• Corneal opacity (interstitial keratitis)


• Rhagades (linear scars at the angles of the mouth)


• Peg-shaped incisors (Hutchinson’s teeth): the central incisors are widely spaced, have a central notch and tapered like a peg


• Mulberry molars: first molars dwarfed by a small occlusal surface; characterized by roughened lobulated hypoplastic enamel (leading to caries)


• Perforation of the palate


• Frontal bossing.


image

Fig. 237.1 Saddle nose deformity. (A) Type 0. (B) Type I. (C) Type II. (D) Type III. (E) Type V.


(With permission from Pribitkin EA, Ezzat WH. Classification and treatment of the saddle nose deformity. Otolaryngolc Clin North Am 2009;42:437–61.)

Related posts:

  1. Permanent cardiac pacemaker/implantable cardioverter-defibrillator
  2. Cauda equina syndrome
  3. Dermatomyositis
  4. Arteriovenous fistula

Stay updated, free articles. Join our Telegram channel
Tags:
Dec 4, 2016 | Posted by in GENERAL & FAMILY MEDICINE | Comments Off on Late congenital syphilis

Full access? Get Clinical Tree
Get Clinical Tree app for offline access