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Medicine General 1bb7a033

Which of the following is not a feature of tertiary syphilis:

A
Gumma
B
Neurosyphilis
C
Cardiovascular syphilis
D
Nephrosyphilis
High-Yield Explanation
a) Congenital syphilis: Hutchinson's triad: Hypoplastic incisors and molars, interstitial keratitis, 8th nerve deafness. Saddle nose Sabre tibia Rhaghades (radiating scars around mouth, nose and  anus) • Bossing of frontal and parietal bones Hypoplastic maxilla Salt and pepper scars on retina. b) Primary syphilis: Painless chancre Painless palpable rubbery inguinal lymphnodes c) Secondary syphilis: This stage is highly infectious Starts 6 - 8 weeks after the development of the chancre Fever, malaise Maculopapular rash on the trunk and limbs. Condyloma lata (Papules coalescing to plaques) Mucous patches in the genitalia, mouth, pharynx 'Snail track' ulcers in mouth d) Late / tertiary, syphilis: Characteristic granulomatous lesion called gumma. Cardiovascular syphilis Aortitis Aortic aneurysm (mostly in ascending aorta) Aortic incompetence Neurosyphilis (KCET-11) Tabes dorsalis Meningovascular disease General paralysis

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