There is also a moth- eaten appearance. Epiphyseal separation may occur as the result of a fracture of the brittle layer of calcified cartilage. Irregular periosteal thickening is also common. Osteochondritis and periostitis are usually self limited. Other symptoms include rhinitis, coryza, or snuffles.
Snuffles usually occur in the first week of life, are very persistent and often bloody.
A syphilitic rash usually appears after 1- 2 weeks of rhinitis. The typical eruption is maculo- papular and consists of small spots that are dark red to copper. If the rash is present at birth it is often bullous. The rash is most severe on the hands and feet. The rash is followed after 1- 3 weeks by desquamation.