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Acquired syphilis in children: A retrospective study over two-and-a-half decades in a tertiary care center in northern India.
Pediatr Dermatol. 2020 Mar; 37(2):311-315.PD

Abstract

BACKGROUND

Syphilis causes considerable morbidity not only in adults but also in children. Unfortunately, acquired syphilis in children has not received due attention and remains a relatively ignored field.

METHODS

This was a retrospective study, in which epidemiologic, clinical, and investigational data were analyzed from medical records of all sexually transmitted infection (STI) cases attending the STI clinic of Pt. B. D. Sharma, PGIMS, Rohtak from January 1992 to November 2018. Children of age ≤14 years with acquired syphilis were studied.

RESULTS

Of 9138 STD cases registered from January 1992 to November 2018, 39 were children with acquired syphilis, of whom 22 were males and 17 were females. The majority were in 12-14 years age group (22 cases; 56.41%). A history of sexual abuse could be elicited in 10 patients. Three gave a history of voluntary sexual activity. Examination revealed secondary syphilis in 32, latent syphilis in 6 and only one case of primary chancre. Analysis of incidence of pediatric acquired syphilis cases over three-year intervals during the last 27 years indicated an initial decreasing trend followed by recent slight rise in last 3 years.

CONCLUSION

Social inhibitions and reluctance to report child sexual abuse may have led to an underestimate of actual prevalence. The prevalence in the 12- to 14-year age group may indicate emerging trends of promiscuous sexual behavior. The recent rising trend in occurrence of childhood acquired syphilis may mirror the recent resurgence of adult syphilis.

Authors+Show Affiliations

Department of Dermatology, Venereology and Leprology, Pt. B. D. Sharma, University of Health Sciences, Rohtak, India.Department of Dermatology, Venereology and Leprology, Pt. B. D. Sharma, University of Health Sciences, Rohtak, India.Department of Dermatology, Venereology and Leprology, Pt. B. D. Sharma, University of Health Sciences, Rohtak, India.Skin Care Centre, Rohtak, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31994211

Citation

Dayal, Surabhi, et al. "Acquired Syphilis in Children: a Retrospective Study Over Two-and-a-half Decades in a Tertiary Care Center in Northern India." Pediatric Dermatology, vol. 37, no. 2, 2020, pp. 311-315.
Dayal S, Sahu P, Aggarwal K, et al. Acquired syphilis in children: A retrospective study over two-and-a-half decades in a tertiary care center in northern India. Pediatr Dermatol. 2020;37(2):311-315.
Dayal, S., Sahu, P., Aggarwal, K., & Jain, V. K. (2020). Acquired syphilis in children: A retrospective study over two-and-a-half decades in a tertiary care center in northern India. Pediatric Dermatology, 37(2), 311-315. https://doi.org/10.1111/pde.14069
Dayal S, et al. Acquired Syphilis in Children: a Retrospective Study Over Two-and-a-half Decades in a Tertiary Care Center in Northern India. Pediatr Dermatol. 2020;37(2):311-315. PubMed PMID: 31994211.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acquired syphilis in children: A retrospective study over two-and-a-half decades in a tertiary care center in northern India. AU - Dayal,Surabhi, AU - Sahu,Priyadarshini, AU - Aggarwal,Kamal, AU - Jain,Vijay Kumar, Y1 - 2020/01/28/ PY - 2020/1/30/pubmed PY - 2020/1/30/medline PY - 2020/1/30/entrez KW - acquired syphilis KW - children KW - sexual behavior SP - 311 EP - 315 JF - Pediatric dermatology JO - Pediatr Dermatol VL - 37 IS - 2 N2 - BACKGROUND: Syphilis causes considerable morbidity not only in adults but also in children. Unfortunately, acquired syphilis in children has not received due attention and remains a relatively ignored field. METHODS: This was a retrospective study, in which epidemiologic, clinical, and investigational data were analyzed from medical records of all sexually transmitted infection (STI) cases attending the STI clinic of Pt. B. D. Sharma, PGIMS, Rohtak from January 1992 to November 2018. Children of age ≤14 years with acquired syphilis were studied. RESULTS: Of 9138 STD cases registered from January 1992 to November 2018, 39 were children with acquired syphilis, of whom 22 were males and 17 were females. The majority were in 12-14 years age group (22 cases; 56.41%). A history of sexual abuse could be elicited in 10 patients. Three gave a history of voluntary sexual activity. Examination revealed secondary syphilis in 32, latent syphilis in 6 and only one case of primary chancre. Analysis of incidence of pediatric acquired syphilis cases over three-year intervals during the last 27 years indicated an initial decreasing trend followed by recent slight rise in last 3 years. CONCLUSION: Social inhibitions and reluctance to report child sexual abuse may have led to an underestimate of actual prevalence. The prevalence in the 12- to 14-year age group may indicate emerging trends of promiscuous sexual behavior. The recent rising trend in occurrence of childhood acquired syphilis may mirror the recent resurgence of adult syphilis. SN - 1525-1470 UR - https://www.unboundmedicine.com/medline/citation/31994211/Acquired_syphilis_in_children:_A_retrospective_study_over_two-and-a-half_decades_in_a_tertiary_care_center_in_northern_India L2 - https://doi.org/10.1111/pde.14069 DB - PRIME DP - Unbound Medicine ER -
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