Fontalvo- Rivera D, Yepes- Barreto A, Gómez-Camargo D, Farfán-Fontalvo M

Language: Spanish
References: 12
Page: 34-38
PDF size: 718.43 Kb.

ABSTRACT

We present a clinical case of a 3 month old male patient in an institution in Cartagena de Indias who presented erythematosus and desquamative lesions since the second week of birth. After the physical test was found: mucocutaneous pale skin, dermatosis bullosa, round erythematosus and desquamative deepithelization areas predominantly on knees, palms and soles. Discreet exophthalmos with tendency to frontal deviation of eyeballs, flat nasal bridge with rhinorrhea, erythema on nasal mucosa. Hepatomegaly and splenomegaly. Increase of the cranial fontanelles and sutures with limb hypotony. The VDRL (Venereal Disease Research Laboratory) was reactive to 32 dilutions and the FTA- Abs (Fluorescent-Treponemal antibody absorbed) turned positive. The cerebrospinal fluid (CSF) turned positive with VDRL and FTA-Abs. The VDRL on the mother turned reactive to 1:16 dilutions with positivity for FTA-Abs. The neurosyphilis nowadays is not considered as part of as tertiary syphilis, but as a manifestation present on any stage of the disease, reason why is classified as acute or late. On newborns the early form of presentation is hard to characterize. In the clinical case presented with subtle behaviors of hypotony and changes on the cephalic semiology.

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