The value of radiography in diagnosis of early congenital syphilis of bone and in the follow-up after treatment

VernacularTitle:早发型先天性骨梅毒的X线诊断及随访价值
Author: Zhaoyi WEN
Publication Type:Journal Article
Keywords: syphilis; congenital; skeleton
From: Journal of Practical Radiology 2015;(3):451-453,457
CountryChina
Language:Chinese
Abstract: Objective To explore the value of radiography in diagnosis of early congenital syphilis and follow-up after treatment. Methods Seven cases of early congenital syphilis of the bone confirmed by serology and radiography in our outpatient in the past six years were retrospectively analyzed.Results Bone abnormalities,including metaphysitis,periostitis and osteomyelitis were identified in all of seven cases.Metaphysitis and periostitis were found in seven cases.Osteomyelitis was identified in two cases.After treat-ment,lesions of the long bones were restored rapidly,which took three months for a patient with metaphysitis,and the longest time for entire recovery for a patient with osteomyelitis took nine months after treatment.Conclusion High incidence of skeletal abnor-malities can be identified in infants with early congenital syphilis,the characteristic radiographic manisfestations are very useful for the diagnosis,assessment of the extent of lesions,treatment planning and follow-up evaluation.