The authors performed clinical study particularly on the skeletal changes in 20 patients with congenital syphilis who visited the department of orthopedic surgery or were tansferred from the department of pediatrics for the past two and a half years from January 1872 to July 1974.
The results were as follows:
1. Age distribution disclosed from 3 days to 14 months with mean 55 days, and the male to female ratio was 8 ~ 12.
2. Chief complaints showed buccal and nasal hemorrhage in 7 cases(35%), the commonest one, upper respiratory infection in 6 cases(30%). abdominal distention 4(20%), rash and jaundice 2(10%) respectively, excoriation and high fever in 1(5%) each.
3. Physical examination showed hepatomegaly in 11 cases (55%), excoriation, edema, cyanosis in 2 cases each (10 %)
4. Blood study revealed anemia in 13 cases(65%), leukocytosis in 14(70%)
5. X-ray´ findings showed positive changes in 16 cases(80%), most of which were involved bilaterally
1) Osteochondritis 11 cases(55%)
The involved bones were radius, ulna, and tibia in 10 cases(50%) each, humerus, in 8(40 %) , femur in 7 (35 %) , fibula in 2 (10 %) , tarsal phalanges in 1(5 %) .
2) Periosteal reaction 9 cases(45%) :
The involved bones were ulna and femur in 9 cases(45%) respectively, humerus and tibia 8 cases (40 %) each, fibula 6 cases (30 %) , radius 5 cases (25 %) , and clavicle in 1 case (5 %) .
3) Wimberger´s sign 6 cases(30%) :
4) Sigjnoid notch sign 3 cases (30 %) :
5) Double ring shadow in tarsal bone 3 cases (15 %) :
6) Metaphyseal fracture 1 case(5%) :
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