Rhinitis

Rhinitis is a common manifestation of early congenital syphilis that manifests in the first week of life. The rhinitis (nasal discharge) is typically heavy and intractable. The nasal fluid contains abundant spirochetes. This manifestation is also commonly referred to as “snuffles”. The congenital syphilis snuffles manifestation was first described by Michael Underwood and Henry Maunsell in 1789.