Abstract
GENERALIZED paresis of insane and late manifestations of congenital syphilis were at one time relatively common clinical problems. Today remaining handful of patients with generalized paresis inhabit back wards of state mental hospitals, and congenital syphilis is seen infrequently in newborns and almost never as late onset form of disease. With discovery of penicillin, and subsequent relative decline in number of cases of syphilis being seen by private practitioner, there has been a tendency to omit serological test for syphilis from routine prenatal examination. In past few years syphilis has been on increase, particularly in 15- to 25-year-age group—the early reproductive years. It is by reputation the great imitator, and unless suspected and looked for, it will be missed. The occurrence of late-onset congenital syphilis manifesting itself as generalized paresis is a rare situation. This
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