In simple words: This code represents congenital syphilis (passed from mother to baby during pregnancy or birth) that shows symptoms after the age of 2.Symptoms can vary and may include eye problems, hearing loss, bone deformities, and skin sores.

Other symptomatic late congenital syphilis refers to forms of congenital syphilis in which symptoms typically present at 2 years after birth or later.A patient with other symptomatic late congenital syphilis may experience interstitial keratitis, blindness, deafness, deformed teeth, joint and bone pain, saber shin (a marked convexity of the anterior tibia), and numerous skin lesions. It also includes Hutchinson's triad (interstitial keratitis, Hutchinson incisors, and 8th cranial nerve deafness), Clutton's joints, cardiovascular syphilis, syphilitic arthropathy, syphilitic osteochondropathy, and syphilitic saddle nose.

Example 1: A 5-year-old child presents with hearing loss, deformed teeth (Hutchinson's incisors), and inflammation of the cornea (interstitial keratitis), consistent with Hutchinson's triad.The child is diagnosed with late congenital syphilis., A 3-year-old child exhibits bone pain, saber shins, and skin lesions. Serological tests and bone X-rays confirm a diagnosis of other symptomatic late congenital syphilis., A 10-year-old child with a history of congenital syphilis now presents with joint swelling (Clutton's joints) and is diagnosed with other late congenital syphilis.

Documentation should include physical exam findings, results of serological tests (e.g., RPR, VDRL, FTA-ABS), bone X-rays, and CSF analysis if neurosyphilis is suspected.Details about the specific manifestations of late congenital syphilis, such as Hutchinson's triad, Clutton's joints, or other symptoms, must also be documented.