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Dermatology

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STD

Question
17 out of 42
 

Primary bullous lesion is seen in: (AIIMS May 2014)



A Congenital syphilis
B Tertiary syphilis

C Secondary syphilis
D Primary syphilis

Ans. A
Congenital syphilis

1. The earliest sign of congenital syphilis is usually rhinitis (snuffles), which is soon followed by other mucocutaneous lesions.

2. These may include bullae (syphilitic pemphigus), vesicles, superficial desquamation, petechiae, and later papulosquamous lesions, mucous patches, and condylomata lata.

3. Bone involvement presents with osteochondritis and osteitis, particularly involving the metaphyses of long bones, which progress in severity during the first 6 months of life and then spontaneously subside, and periostitis, which continues to progress after the first 6 months.

4. Hepatosplenomegaly, lymphadenopathy, anemia (usually hypoproliferative but may be hemolytic), jaundice, thrombocytopenia, and leukocytosis are commonly seen.

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