Which of the following is a common presentation feature of congenital syphilis?

Congenital syphilis can manifest with a variety of clinical features, and one of the classic presentations is indeed a blood-tinged purulent nasal discharge, which is indicative of rhinitis. This condition, sometimes referred to as "snuffles," occurs as a result of the infection affecting the nasal passages. It typically presents in newborns and can lead to significant complications if not addressed.

Other features of congenital syphilis can include multifocal bone pain, atypical skin rashes, and dental abnormalities (Hutchinson's teeth). However, the presence of a blood-tinged purulent nasal discharge is a distinctive and notable sign that may occur during the early weeks of life after birth.

Deafness, while a risk associated with congenital syphilis, is not as immediate in presentation. Similarly, although cataracts can occur due to other congenital infections, they are not related to syphilis. A vesicular rash might be seen in other conditions but is not a common presentation specifically linked to congenital syphilis. Thus, recognizing the blood-tinged purulent nasal discharge as a primary feature helps in diagnosing this serious condition in newborns.