Premature baby of 34 wks was delivered. Baby developed bullous lesion on the skin and X-ray shows periositis. What should be the next investigation ?: (A) VDRL for mother & baby, (B) ELISA for HIV, (C) PCR for TB, (D) Hepatitis surface antigen for mother
Answer is A. In congenital syphilis,characteristic osteochondritis and periositis and a maculopapular or vesiculobullous lesions followed by desquamation involving hands and feet are common.So VDRL test is done. Reference: Nelson textbook of pediatrics 19th edition and op Ghai 9th edition Page 1018