late congenal syphilis

Question 1

desc

Answer 1

normal at birth dev dx after 2 yrs of age.

2 types of lesion:
persistent inflammatory foci
malformations of tissue affected at critical growth periods (stigmata)

Question 2

Inflammatory lesions

Answer 2

lesions of cornea bones and cns are most impt.
interstitial keratitis wc begins w intense pericorneal onflamm and perists to char diffuse clouding of cornea without surface ulceration.’occurs in 20-50% of children.
if persistent lead to permanent partial or complete opacity of the cornea. syphilitic inferstitial keratitis.

perisynovitis( clutton joints) - affects knees leads to summ painless swelling. gummas may be found in any of the long bones in the skull. ulcersting gummas.

seizures are a freq symptom in congenital cases.

Question 3

malformations (stigmata)

Answer 3

leave scars or dec defects called stigmata wc perisstt throughout life and confirm dx.

Hutchinson TRIAD-
incisor teeth
opacities of the cornea
8th cranial nerve deafness

diagnostic importance: hutchinson teetg, corneal scars; saber shins, rhagades of the lips; saddle nose, mulberry molars.

Question 4

Hutchinson teeth

Answer 4

Malformatioj of the central upper incisors that appear in secondary or permanent teeth.
teeth are cylindrical. cutting edge is narrower than base.

mulberry molar usually 1st molar and appearing about 6 yrs is a hyperplastic tooth.

Question 5

unilateral thickenjng of the inner third of one clavicle. is a hyperostosis resulting from syphilitic osteitis.

Answer 5

Higoumenaki sign.