Congenital syphilis history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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History and Symptoms

• Symptoms in newborns may include:

• Failure to gain weight or failure to thrive
• Fever
• Irritability
• No bridge to nose (saddle nose)
• Early rash - small blisters on the palms and soles
• Later rash - copper-colored, flat or bumpy rash on the face, palms, and soles
• Rash of the mouth, genitalia, and anus
• Watery discharge from the nose

• Symptoms in older infants and young children may include:

• Abnormal notched and peg-shaped teeth, called Hutchinson teeth
• Bone pain
• Blindness
• Clouding of the cornea
• Decreased hearing or deafness
• Gray, mucus-like patches on the anus and outer vagina
• Joint swelling
• Refusal to move a painful arm or leg
• Saber shins (bone problem of the lower leg)
• Scarring of the skin around the mouth, genitalia, and anus