A female patient, 11 year-old, who referred from Department of orthodontics due to suggested congenital syphilis by Hutchinson incisor, and Hutchinaon´s incisor, mulberry molar, perioral rhagades and saddle now, mandibular protuberance was examed clinically.
Radiographs showed developing third molars and notch-shaped maxillary central incisors.
Postitive reaction was observed by TPHA test & FTA-ABS test.
According to the clinical, radiographical & clinicopathological findings, final diagnosis was established as late congenital syphilis.
Late congenital syphilis is a rare transplacental infectious disease by infected materity with the common characteristic of marked frontal bossing, Hutchinson´s teeth, interstitial keratitis, 8th nerve deafness, saddle nose, mulberry molar, rhagades, saber shin, Clutton´s pint etc.
Patient was cared by administration of erythromycin per oral, but continuous careful follow-up was recommended for confirmation of serologic negative change.
|