Ответ: ранний врождённый сифилис (грудного возраста), диффузная инфильтрация кожи гохзингера

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ОТВЕТ: Ранний врождённый сифилис (грудного возраста), диффузная инфильтрация кожи Гохзингера

#19

*! The boy is 10 years old, his physical development does not correspond to his age, his intellect is reduced. The cranium is buttock-shaped, the nose is saddle-shaped, Both anterior upper incisors are barrel-shaped. On the free edge of the teeth, semi-moon notches are visible. The palate is high. gothic. The child lives in an orphanage, the parents are unknown to RIF 4+ and RIPT 94%. Which of the following diagnoses is probable?

ОТВЕТ: Поздний врожденный сифилис (зубы Гетчинсона и др.)

# 20

*! In a newborn baby, the liver protrudes 0.6 cm from under the costal arch. X-ray examination of long tubular bones: in the region of the distal femoral heads, sclerotic strips of enlightenment 1.5-2.0 mm are determined. Conclusion: syphilitic osteochondritis of the femurs of 1-2 degrees. Ultrasound of internal organs: 2 mm inclusions are visualized throughout the liver parenchyma. Conclusion: an increase in the right lobe of the liver. Diffuse changes in the parenchyma. Which of the following diagnoses is probable?

ОТВЕТ: Ранний врождённый сифилис (грудного возраста), сифилитический остеохондрит

#21

*! A 2-month-old child has bent hands like "seal legs", has contracture of the lower extremities. When trying to move the limbs, the child cries out from pain. Skin sensitivity in the changed areas is completely preserved. On radiographs, a dark stripe of rarefaction is visible at the border between the pineal glands and the diaphysis of the bones. The child's mother is sick with secondary recurrent syphilis. Which of the following research methods is necessary for making a diagnosis?

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