Hutchinson's triad

Hutchinson's triad is a set of three symptoms that are classically associated with congenital syphilis. Named after Sir Jonathan Hutchinson, an English surgeon and pathologist, the triad consists of Hutchinson's teeth, interstitial keratitis, and sensorineural hearing loss.

Hutchinson's Teeth

Hutchinson's teeth is a condition characterized by notched, peg-shaped upper central incisors. This is a specific form of dental abnormality that is caused by the effect of the syphilis bacteria on the developing teeth.

Interstitial Keratitis

Interstitial keratitis is an inflammation of the cornea. It is a serious condition that can lead to vision loss if not treated promptly. In the context of Hutchinson's triad, it is caused by the syphilis bacteria infecting the eye.

Sensorineural Hearing Loss

Sensorineural hearing loss is a type of hearing loss in which the root cause lies in the inner ear or sensory organ (cochlea and associated structures) or the vestibulocochlear nerve (cranial nerve VIII). In Hutchinson's triad, this hearing loss is caused by the syphilis bacteria damaging these structures.

Diagnosis

Diagnosis of Hutchinson's triad involves a thorough medical history and physical examination, as well as specific tests for syphilis. These may include blood tests, cerebrospinal fluid tests, and imaging studies.

Treatment

Treatment for Hutchinson's triad involves treating the underlying syphilis infection, typically with antibiotics. Treatment for the specific symptoms of the triad, such as dental care for Hutchinson's teeth, eye care for interstitial keratitis, and hearing aids or cochlear implants for sensorineural hearing loss, may also be necessary.

See Also

• Congenital syphilis
• Syphilis
• Hutchinson's sign
• Hutchinson's syndrome

Hutchinson's triad Resources
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