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Pigmented pretibial scars due to congenital syphilis

This patient presented with a cutaneous pigmentation abnormality, occupying a region of the right shin from the knee to mid-tibia, composed of what appeared to be scarified, hyper-, and hypopigmented skin, known as pigmented pretibial scars, which was determined to be a symptom of congenital syphilis caused by the bacterial spirochete, Treponema pallidum. (Source: Photography by Brian Hill, New Zealand/Centers for Disease Control and Prevention, 1976. Public Health Image Library ID# 16745, Centers for Disease Control and Prevention, Atlanta, Georgia. Public domain.)

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Associated Disorders

  • Congenital HIV infection
  • Congenital central nervous system infections
  • Congenital cytomegalovirus infection
  • Congenital herpes virus infection
  • Congenital infections
  • Congenital rubella infection
  • Congenital toxoplasmosis infection
  • Maternal HIV infection
  • Maternal syphilis