{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T14:58:33Z","timestamp":1770044313956,"version":"3.49.0"},"reference-count":6,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T00:00:00Z","timestamp":1701216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We describe a case of congenital syphilis in an adopted infant with a unique dermatologic presentation of scalp granulomas, along with lymphadenopathy, anemia, and elevated liver transaminases. To our knowledge, this cutaneous morphology has not been previously reported in the literature. This case highlights the varied clinical presentation of congenital syphilis and the diagnostic challenge it poses for clinicians, especially in the context of unknown prenatal history\/unknown risk factors, or if syphilis is acquired during pregnancy after routine screening is performed. As the incidence of congenital syphilis has more than tripled in recent years, this diagnosis should be considered when a neonate or infant presents with unexplained skin nodules.<\/jats:p>","DOI":"10.1111\/pde.15479","type":"journal-article","created":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T08:20:42Z","timestamp":1701246042000},"page":"493-496","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Congenital syphilis presenting with granulomatous scalp nodules"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9445-6947","authenticated-orcid":false,"given":"Carrie","family":"Vuong","sequence":"first","affiliation":[{"name":"Department of Dermatology University of California San Diego  San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erina","family":"Lie","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of California San Diego  San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie","family":"Ellington","sequence":"additional","affiliation":[{"name":"Department of Pathology University of California San Diego  San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amaran","family":"Moodley","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Rady Children's Hospital San Diego  San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Hinds","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of California San Diego  San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria R.","family":"Barrio","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of California San Diego  San Diego California USA"},{"name":"Department of Pediatrics Rady Children's Hospital San Diego  San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,11,29]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"Sexually Transmitted Disease Surveillance 2021.Table 21. Congenital Syphilis \u2013 Reported Cases and Rates of Reported Cases by Year of Birth by State\/Territory* and Region in Alphabetical Order United States 2017\u20132021. Centers for Disease Control and Prevention. April 11 2023. Accessed April 29 2023.https:\/\/www.cdc.gov\/std\/statistics\/2021\/tables\/21.htmandhttps:\/\/www.cdc.gov\/std\/statistics\/2020\/tables\/20.htm"},{"key":"e_1_2_5_3_1","unstructured":"Statutory and Regulatory Language Regarding Prenatal Syphilis Screenings in the United States.Centers for Disease Control and Prevention. August 4 2021. Accessed April 29 2023.https:\/\/www.cdc.gov\/std\/treatment\/syphilis-screenings.htm"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473\u20103099(20)30268\u20101"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0009922816638666"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/DAD.0000000000002055"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525\u20101470.2006.00310.x"}],"container-title":["Pediatric Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.15479","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T15:31:28Z","timestamp":1715700688000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pde.15479"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,29]]},"references-count":6,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1111\/pde.15479"],"URL":"https:\/\/doi.org\/10.1111\/pde.15479","archive":["Portico"],"relation":{},"ISSN":["0736-8046","1525-1470"],"issn-type":[{"value":"0736-8046","type":"print"},{"value":"1525-1470","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,29]]},"assertion":[{"value":"2023-07-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}