Single Best Answer (SBA) · Maternal Infections in Pregnancy
A neonate born to a mother with untreated syphilis later develops notched teeth, interstitial keratitis and sensorineural deafness. Which single triad does this represent?
Show answer and explanation
Answer: A. Hutchinson's triad of late congenital syphilis
Congenital syphilis
Untreated maternal syphilis can cause congenital infection.
Hutchinson's triad (late congenital syphilis)
- Hutchinson's teeth (notched incisors).
- Interstitial keratitis.
- Sensorineural (eighth nerve) deafness.
Other features
- Early: hepatosplenomegaly, fever, rash, failure to thrive.
- Late: saddle nose, sabre tibia, osteochondritis.
Prevention
- Antenatal screening (VDRL) and treatment with penicillin prevent congenital syphilis.
So this is Hutchinson's triad of late congenital syphilis.
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