A 30-year-old pregnant female presented to the Obstetrics OPD for the first time in 3rd trimester. She is 36 weeks pregnant. She complained of fever, swollen lymph nodes, sore throat and a characteristic rash on the palms as well as on the bottom of the feet. A serological screening test was conducted in the given plate which came out to be positive. Which of the following abnormalities can be most likely found in the child born: -

This is a case of syphilis in a pregnant female leading to congenital syphilis. 1st image shows the characteristic Roseolous rash - pink or red spots with clear or blurred edges 5-50 mm in diameter with no cavities. 2nd image shows the VDRL plate test used as a screening test for syphilis. OPTION A- Hutchinson teeth/ Blunted upper incisors (associated with Congenital syphilis) OPTION B - Hydrocephalus (associated with Toxoplasmosis) OPTION C- Inclusion conjunctivitis (associated with Chlamydia) OPTION D - Diffuse periventricular calcifications (associated with CMV infection) Congenital syphilis Hutchison triad- Hutchinson teeth, Interstitial keratitis and 8th nerve deafness. Saddle nose Frontal bossing Cluttons joint