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Indian Journal of Maternal-Fetal & Neonatal Medicine

Volume  4, Issue 1, January - June 2017, Pages 67-72
 

Review Article

Clinical Implications of Syphilis in Pregnancy and Dental Manifestations in Neonates

Alka Patil*, Alkesh Shende**, Alka Waghmare***, Anuradha Bhatsange****, Lalitha Shiggaon****

*Professor & Head, Department of Obstetrics & Gynaecology, **Post Graduate Student ***Professor & Head ****Reader, Department of Periodontics, JMF’s A.C.P.M. Medical College, Dhule, Maharashtra, India.

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DOI: DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.4117.11

Abstract

 Syphilis is an infectious disease presenting stages associated with specific orallesions. Therefore, health professionals should be familiar with the different syphilis oral manifestations at each stage and be prepared to refer any suspected patient for further evaluation. Congenital syphilis is a very rare clinical entity,and its early diagnosis and treatment is essential. Dental findings often provide valuable evidence for the diagnosis of late congenital syphilis. It occurs due to the transmission of the disease from an infected mother to her fetus through placenta. This long forgotten disease continues to effect pregnant women resulting in perinatal morbidity and mortality. Congenital syphilis is a preventable disease, and its presence reflects a failure of prenatal care delivery system, as well as syphilis control programs. Although oral manifestations of syphilis are most likely to be observed during secondary disease, all stages of the disease can give rise to oral lesions. Since the prevalence of infective syphilis in heterosexuals has been increasing, there has now been a gradual rise in the number of children born with congenital syphilis. Consequently, the congenital disease gives rise to dental anomalies as well as bone, skin, and neurological anomalies of the face. This review describes the various stages of syphilis, along with its diagnosis and further management.

Keywords: Syphilis; Pregnancy; Congenital.


Corresponding Author : Alka Patil*