LATE CONGENITAL-SYPHILIS WITH PERIOSTITIS AS THE FIRST MANIFESTATION - REPORT OF A CASE

Congenital syphilis is a rare disease that manifests as primary skelet al lesions in a small proportion of cases. A case of late congenital s yphilis in an Ig-year-old woman is reported. Tibial periostitis was th e first manifestation, Clinical symptoms and radiologic changes were s uggestive of congenital syphilis. Serologic tests for syphilis yielded strongly positive reactions. There was evidence of asymptomatic neuro syphilis. The outcome was favorable under treatment. Clinical and radi ologic manifestations of bone lesions in secondary and tertiary acquir ed syphilis are reviewed and compared with those in late congenital sy philis.