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Pediatric Radiology

, Volume 7, Issue 1, pp 36–39 | Cite as

Focal osseous lesions in congenital lues

  • A. Solomon
  • E. Rosen
Originals

Abstract

Five babies, aged between one to three months presented with clinical and serological evidence of syphilis. In addition to the usual periosteal and metaphyseal bone lesions of lues, areas of focal lucencies and sequestra were present. The association of sequestra in focal diaphyseal erosions may represent a non-dystrophic manifestation of the disease. The lesions were attributed to the syphilitic process. Trivial trauma to disorganised metaphyses, dystrophic changes and possibly focal osteomyelitis account for the spectrum of bone lesions in congenital syphilis. No tubular bone appears immune to these processes.

Key Words

Congenital syphilis Lucencies Sequestra Granulomatous tissue Dystrophy 

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References

  1. 1.
    Engeset, A., Eek, S., Gilje, O.: On the significance of growth in the roentgenological skeletal changes in early congenital syphilis. Am. J. Roentgenol. Radium. Ther. Nucl. Med.69, 542 (1953)PubMedGoogle Scholar
  2. 2.
    Hiller, H. G.: Battered or not. A re-appraisal of metaphyseal fragility. Am. J. Roentgenol. Radium Ther. Nucl. Med.114, 241 (1972)PubMedGoogle Scholar
  3. 3.
    Luck, J. V.: Bone and Joint Disease, 111–116. Springfield, Ill.; Charles C. Thomas Publishers 1950Google Scholar
  4. 4.
    McLean, S.: The correlation of the roentgenographic and pathologic aspects of congenital osseous syphilis. Am. J. Dis. Child.41, 363 (1931)Google Scholar
  5. 5.
    McLean, S.: Correlation of the roentgenographic picture with the gross and the microscopic examination of pathologic material in congenital osseous syphilis. Am. J. Dis. Child.41, 607 (1931)Google Scholar
  6. 6.
    Murray, R. O., Jacobson, H. G.: The Radiology of Skeletal Disorders, 302–304. Edinburgh: Churchill Livingstone 1971Google Scholar
  7. 7.
    Solomon, A., Rosen, E.: The aspect of trauma in the bone changes of congenital lues. Pediatr. Radiol.3, 176 (1975)PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1978

Authors and Affiliations

  • A. Solomon
    • 1
    • 3
    • 2
  • E. Rosen
    • 1
    • 3
    • 2
  1. 1.Department of RadiologyBaragwanath HospitalJohannesburgRepublic of South Africa
  2. 2.Department of PaediatricsBaragwanath HospitalJohannesburgRepublic of South Africa
  3. 3.University of the WitwatersrandJohannesburgRepublic of South Africa

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