Rasool M N, Govender S
Department of Orthopaedics, Faculty of Medicine, University of Natal, Congella, Republic of South Africa.
J Bone Joint Surg Br. 1989 Nov;71(5):752-5. doi: 10.1302/0301-620X.71B5.2584243.
In a retrospective review of 302 clinically suspected cases of congenital syphilis, bone changes were found in 197. The skeletal manifestations were periostitis (102 cases), osteitis (20), and metaphyseal changes (71). Combinations of more than one lesion were found in 61. Pseudoparalysis was a presenting sign in 34 infants; 12 of these were found to have had pathological fractures and four had dactylitis. Complete radiological healing without residual changes was seen in all 59 cases that were recalled for review. The orthopaedic surgeon should consider the diagnosis of congenital syphilis when destructive lesions of bone are seen in an infant.
在一项对302例临床疑似先天性梅毒病例的回顾性研究中，197例发现有骨骼改变。骨骼表现为骨膜炎（102例）、骨炎（20例）和干骺端改变（71例）。61例存在一种以上病变的组合。34例婴儿出现假瘫症状；其中12例发现有病理骨折，4例有指（趾）炎。在所有被召回复查的59例病例中，均可见放射学完全愈合且无残留改变。当婴儿出现骨骼破坏性病变时，骨科医生应考虑先天性梅毒的诊断。
