An infant with acral peeling of skin: A curious case of congenital syphilis.

Indian J Sex Transm Dis AIDS

Department of Dermatology, All India Institute of Medical Sciences, Patna, Bihar, India.

Published: June 2024

Congenital syphilis (CS) is a vertically transmitted infection caused by the spirochete . It is seen rarely due to proper antenatal screening. Signs and symptoms appear within the first 2 years of life in early CS and after 2 years in late CS. Failure to diagnose and treat CS in its early stages can result in higher morbidity and mortality. Skin manifestations can guide toward the diagnosis of CS at an early stage. Here, we report a 2-day-old neonate who presented with acral peeling of skin along with respiratory distress and hepatosplenomegaly. Clinical suspicion of CS was made and subsequently confirmed by a positive venereal disease research laboratory test in both mother and child. The child was treated with aqueous crystalline penicillin G as per the CDC guidelines.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11233060PMC
http://dx.doi.org/10.4103/ijstd.ijstd_15_24DOI Listing

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