A woman with a history of repeated aboions gave bih to a low bih weight baby. The child is having rashes over palm and rhinitis. The most probable diagnosis is September 2009

Ans. B: Congenital Syphilis Symptoms in newborns with congenital syphilis may include: Failure to gain weight or failure to thrive Fever Irritability No bridge to nose (saddle nose) Early rash -- small blisters on the palms and soles Later rash -- copper-colored, flat or bumpy rash on the face, palms, and soles Rash of the mouth, genitalia, and anus Watery discharge from the nose Congenital rubella predominantly include cochlear (sensori-neural deafness), cardiac (septal defects, PDA), hematologic, ophthalmic (cataracts, retinopathy) and chromosomal abnormalities.