Congenital Syphilis: a Clinical Profile

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Abstract
A presumptive diagnosis of congenital syphilis in 81 clinically suspected cases was established on the basis of positive venereal disease Research Laboratory test for syphilis in both the infant and the mother, or by the presence of suggestive osseous lesions in the long bones. Anaemia, hepatomegaly or hcpatosplenomegaly followed by cutaneous lesions were the major clinical manifestations noted and were present in 74.07 per cent, 69.13 per cent, 62.96 per cent and 58.02 per cent cases respectively. Their presence was considered highly suggestive of congenital syphilis. Other minor manifestations included failure to thrive, syphilitic rhinitis, pseudoparalysis, jaundice and congestive cardiac failure and were present in less than one third of the patients.

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