Late congenital syphilis is diagnosed in a 9-year-old child. Which combination of findings constitutes the Hutchinson triad?

• A Saddle nose, saber tibia, and Clutton joints
• B Mulberry molars, rhagades, and frontal bossing
• C Notched central incisors, interstitial keratitis, and eighth nerve deafness ✓
• D Maculopapular rash on palms and soles, snuffles, and hepatosplenomegaly

Explanation

The Hutchinson triad consists of peg-shaped, centrally notched upper central incisors, interstitial keratitis, and sensorineural deafness from eighth nerve damage. These are late stigmata of congenital syphilis appearing after 2 years of age. Option A lists other genuine late features but does not form the eponymous triad. Option D describes early congenital syphilis, which resembles secondary syphilis and presents within the first months of life.

Reference: Nelson Textbook of Pediatrics, 21st ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.