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Medicine General b026cf6f

All are cardiovascular manifestations of late syphilis, EXCEPT:

A
Uncomplicated aoitis
B
Saccular aneurysm (usually of the ascending aoa)
C
Coronary ostial stenosis
D
Pulmonary stenosis
High-Yield Explanation
Cardiovascular manifestations of late syphilis: Manifests 10-40 years after infection Due to Endaeritis obliterans of the vasa vasorum T. pallidum DNA detected by PCR in aoic tissue. Uncomplicated aoitis, aoic regurgitation, saccular aneurysm (usually of the ascending aoa), or coronary ostial stenosis. Linear calcification of the ascending aoa suggests asymptomatic syphilitic aoitis Syphilitic aneurysms are usually saccular, and it do not lead to aoic dissection. Only 1 in 10 aoic aneurysms of syphilitic origin involves the abdominal aoa. Ref: Harrison, E-18, P-1384

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