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Text
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URL Address
<a href="http://doi.org/10.1111/j.1525-1470.2010.01288.x" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/j.1525-1470.2010.01288.x</a>
Pages
401–403
Issue
4
Volume
28
Dublin Core
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Title
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Congenital syphilis: early- and late-stage findings of rhagades and dental anomalies.
Publisher
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Pediatric dermatology
Date
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2011
2011-08
Subject
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Child; Cicatrix/microbiology; Congenital/*complications/diagnosis; Fluorescent Treponemal Antibody-Absorption Test; Hearing Disorders/microbiology; Humans; Male; Preschool; Syphilis; Tooth Abnormalities/*microbiology
Creator
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Khetarpal Shilpi; Kempf Ellen; Mostow Eliot
Description
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Congenital syphilis occurs via vertical transmission when Treponema pallidum crosses the placenta after the 16th week of gestation. Manifestations of congenital syphilis vary from asymptomatic infection to stillbirth. We present a case of congenital syphilis in a Vietnamese orphan who presented with rhagades, hearing deficit, and abnormal dentition after adoption in the United States. He demonstrated both early- and late-stage findings of congenital syphilis. He is presumed to be 5 years old, and it is uncertain if he received treatment. Upon arrival to the United States, his rapid plasma reagin test was negative, but his fluorescent treponemal antibody-absorption test was positive, so no further treatment was recommended. It is possible that other late congenital syphilis stigmata may develop in his later years. The Centers for Disease Control recommends screening all pregnant women for syphilis at the beginning of prenatal care. Clinicians should be made aware of the manifestations of congenital syphilis, especially when caring for international orphans and children born to mothers who lacked prenatal care.
Identifier
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<a href="http://doi.org/10.1111/j.1525-1470.2010.01288.x" target="_blank" rel="noreferrer noopener">10.1111/j.1525-1470.2010.01288.x</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2011
Child
Cicatrix/microbiology
Congenital/*complications/diagnosis
Department of Internal Medicine
Fluorescent Treponemal Antibody-Absorption Test
Hearing Disorders/microbiology
Humans
Kempf Ellen
Khetarpal Shilpi
Male
Mostow Eliot
NEOMED College of Medicine
Pediatric dermatology
Preschool
Syphilis
Tooth Abnormalities/*microbiology