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.)

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Dec 4, 2016 | Posted by in GENERAL & FAMILY MEDICINE | Comments Off on Late congenital syphilis

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