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date: 25 June 2022

Chapter 93 reviews musculoskeletal manifestations of syphilis, which is an infection caused by the bacterium Treponema pallidum and is acquired by sexual intercourse or transmitted vertically from mother to baby. In early congenital syphilis, radiographic findings include periostitis, metaphysitis, and diaphyseal osteomyelitis. In late congenital syphilis, osteomyelitis and periostitis are seen in long tubular and flat bones and the cranium. In the tibia, a typical saber shin deformity with anterior bending of the bone is seen. Acquired syphilis, seen in adults, is divided into primary, secondary, latent, and tertiary stages. Musculoskeletal manifestations are seen in latent and tertiary stages as periostitis and gummatous or nongummatous inflammation.

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