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Clutton's joints is a term describing the finding of symmetrical joint swelling seen in congenital syphilis. It most commonly affects the knees, presenting with synovitis and joint effusions (collections of fluid within the joint capsules) lasting up to a year. It has also been reported affecting the ankles, elbows, wrists and fingers.
Dactylitis can occur in seronegative arthropathies, such as psoriatic arthritis and ankylosing spondylitis, and in sickle-cell disease as result of a vasoocclusive crisis with bone infarcts, and in infectious conditions including tuberculosis, syphilis, and leprosy. In reactive arthritis, sausage fingers occur due to synovitis. [2]
In secondary syphilis, a diffuse rash occurs, which frequently involves the palms of the hands and soles of the feet. [2] There may also be sores in the mouth or vagina. [2] Latent syphilis has no symptoms and can last years. [2] In tertiary syphilis, there are gummas (soft, non-cancerous growths), neurological problems, or heart symptoms. [3]
Age. The risk of most causes of joint pain increases with age. This may be due to increased wear and stress on joints over time and a higher likelihood of other underlying medical conditions ...
Sexually transmitted infections can have serious health consequences if not treated early, and some people can have an infection without knowing. Sexually transmitted infections, including ...
What you need to know about STDs. Syphilis, gonorrhea, chlamydia and herpes. Debunking myths about sexually transmitted infections.
The infection of the heart, muscles, and vessels in the body can lead to meningovascular syphilis. Generally, rashes may start developing on the hands and soles of the feet, and it can spread to various parts of skin on the body. Other symptoms may include sore throat, headache, joint pain, fever, and patches of hair loss.
However, if diagnosis of congenital syphilis is delayed until Hutchinson’s triad is noted–among other signs and symptoms, such as nasal cartilage destruction (saddle nose), frontal bossing, joint swelling (Clutton joints), tibial thickening (Saber shins), hard palate defect–the damage is irreversible. [4]
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