January 1992

Picture of the Month

Author Affiliations

Contributed from the Department of Pediatrics, School of Medicine, University of Pennsylvania.

Am J Dis Child. 1992;146(1):115-116. doi:10.1001/archpedi.1992.02160130117033

Denouement and Discussion 

Congenital Syphilis 

Mainfestations  Cutaneous lesions occur in one third to one half of infants with congenital syphilis. The lesions may be relatively inconspicuous, as illustrated by the Figures, or they may be prominent and vesiculobullous or eroded. The most common lesions are round to oval maculopapular or papulosquamous lesions strongly suggestive of pityriasis rosea, one of the common skin disorders that secondary syphilis mimics. The lesions may occur anywhere, but are most common on the face, the extensor surfaces of the arms and legs, and the perineum. Occasionally, the palms and soles are involved. The

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