Pathology · single question

Patient presents with notched permanent incisors (Hutchinson's incisors) and mulberry molars. Underlying condition?

Ectodermal dysplasia
Congenital syphilis
Congenital rubella
Cleidocranial dysostosis

Show answer and explanation

Correct answer: B. Congenital syphilis

Hutchinson's incisors + mulberry molars = PATHOGNOMONIC for CONGENITAL SYPHILIS (Treponema pallidum infecting developing tooth buds). Part of Hutchinson's triad: Hutchinson's incisors + mulberry molars + interstitial keratitis.

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