PMC10238064_01
In A: leg radiograph showing no alterations in the first child after epiphyseal osteosclerosis in long bones from previous years. In B: diffuse metaphyseal alterations, suggestive of syphilis, are observed in the second child at the age of 2 years and 8 months. In C and D: metaphyseal alterations in the long bones of the third child (2 months old) are observed.
1678-9849-rsbmt-56-e0038-2023-gf1.jpg
PMC10238064_01_1678-9849-rsbmt-56-e0038-2023-gf1.jpg
f1
Follow-up radiography of (Figure 1A), revealed radiotransparency alterations in all of his long bones, suggestive of syphilis. At the ages of 1 and 2 years, she continued to exhibit metaphyseal changes in all long bones (Figure 1B) and non-reactive VDRL.  Bone radiograph performed at 2 months of age revealed metaphyseal alterations in all long bones (Figure 1C-D).