PMC7528198_01
Perianal condyloma lata at time of syphilis diagnosis.
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A dermatology referral was made, where condyloma lata (Fig. 1) was suspected and testing for syphilis was performed in both the infant and the mother.
Radiograph of the left tibia and fibula showing sandwich-shaped metaphysitis (lower arrow), seen as an alternation of hyperdense and hypodense layers. The upper arrow shows the formation of a medial tibial beak with osteochondondritis.
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Laboratory (VDRL) test was also reactive (1:1), with 18 nucleated cells/muL in the CSF. CSF protein was 45 mg/dL (normal range 15-48 mg /dL) and CSF glucose was 47 mg /dL (normal range 60-80 mg /dL). Long bone radiographs revealed features of congenital syphilis, including periostitis (Fig. 2).
PMC7528198_02