REFERENCES

Figure 1. Syphilitic metaphysitis, showing diminished density in the ends of the shaft (large arrow) and destructive lesion at the proximal end of the right tibia (small arrow). physeal displacement. Complete resolution with no residual deform-ity, however, is frequently seen, once adequate therapy is completed. Treatment Aqueous crystalline penicillin G remains the preferred drug in the treatment of congenital syphilis. Roentgenographic findings sug-gestive of congenital syphilis and a positive VDRL and/or FTA-ABS test in the serum strongly support the diagnosis, regardless of the therapy received by the mother during pregnancy. 12,13 Bone lesions heal slowly, resolv-ing within three to four months