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Medicine Infection 425a1e04

The dental condition illustrated in Figure below is usually associated with a congenital infectious disease. The teeth are characterized by centrally notched, widely spaced, peg-shaped upper central incisors and molars that have poorly developed cusps. Which of the following is the most likely diagnosis?

A
congenital rubella
B
congenital syphilis
C
congenital toxoplasmosis
D
congenital HIV
High-Yield Explanation
Figure illustrates Hutchinson teeth, which is a manifestation of late congenital syphilis. This may be associated with cardiovascular and neurologic manifestations as well as "saddle nose" and "saber shins."

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