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Syphilis in early childhood

Syphilis in early childhood

  • Clinical manifestations of syphilis in children aged 1 to 4 years is significantly different from its manifestations in infants.

General characteristics of specific lesions in early childhood: 1) skin rash more scarce than in infancy tend to group and localization, in limited areas of the skin; 2) include skin rashes dominated by extensive warts preferentially localized around the anus and genital area; 3) in this period is not observed a diffuse papular infiltration and congenital syphilitic pemphigus; 4) There are no osteochondritis, and bone loss occurs mainly in the form osteoperiostitov; 5) destruction of the internal organs are less common than in infancy.

In general it can be said that the manifestation of syphilis in early childhood on the skin and mucous membranes of approximately the same “relevant lesions in the secondary recurrent period in children with acquired syphilis.

Of the mucosal lesions often observed specific laryngitis, sometimes accompanied by hoarseness and stenosis of the larynx. Specific laryngitis has a long chronic course (6 months), unlike diphtheria, in which laryngeal lesion is acute. Influenced antisyphyllitic treatment of laryngitis symptoms quickly disappear.

Syphilis eggs there as often as in infants.

Diseases of the nervous system are manifested in the form of: 1) severe mental retardation; the study of cerebrospinal fluid in these children is often detected asymptomatic meningitis; 2) hemiplegia epilepsy or specific etiology, which are based endarteritis vascular thrombosis, sometimes with focal cerebral softening; 3) syphilitic meningitis; 4) tabes dorsalis, which occurs infrequently.

From eye diseases occur chorioretinitis, optic atrophy and parenchymal keratitis.

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