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Sonographic osseous manifestations of fetal syphilis: a case report

The Centers for Disease Control have recently reported a marked increase in the prevalence of syph· ilis, particularly in large urban centers. 1 An especially large rise in the frequency of syphilis among young women in the childbearing age has resulted in a concomitant rise in congenital syphilis.2 In 1992 the number of reported cases of congenital syphilis in the United States was 4322.3 Previously documented nonspecific sonographic findings in fetuses with congenital syphilis include hepatosplenomegaly, placentomegaly, noncontinuous bowel obstruction, and serous cavity effusions:' We describe bony sonographic findings in a fetus with congenital syphilis and review the literature.