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Chen JQ, Cao YL, Man XY. Malignant syphilis in a young woman: A case report. J Int Med Res 2022; 50:3000605221131368. [PMID: 36217269 PMCID: PMC9558884 DOI: 10.1177/03000605221131368] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2022] [Accepted: 09/20/2022] [Indexed: 11/17/2022] Open
Abstract
Malignant syphilis (MS) is a rare dermatological manifestation of secondary syphilis. This case report describes a young woman that presented with a 15-day history of generalized condyloma lata and seborrheic dermatitis-like lesions at various stages. Laboratory tests showed a toluidine red unheated serum test titre of 1:128 and Treponema pallidum particle agglutination positivity. Serology for HIV antibodies was repeatedly negative. MS was diagnosed according to established MS diagnostic criteria. The lesions regressed after treatment with 2 400 000 units penicillin G benzathine by intramuscular injection weekly for three consecutive weeks. MS is more frequently associated with HIV-infected patients, which makes this current case more interesting because MS in HIV-negative patients has rarely been reported.
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Affiliation(s)
- Jia-Qi Chen
- Department of Dermatology, Second Affiliated
Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province,
China
| | - Yue-Lan Cao
- Department of Dermatology, Second Affiliated
Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province,
China
| | - Xiao-Yong Man
- Department of Dermatology, Second Affiliated
Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province,
China
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Darraj M, Walkty A, Toole J, Marrie T, Huzel L, Embil JM. A 42-year-old man with nodular skin lesions. JOURNAL OF THE ASSOCIATION OF MEDICAL MICROBIOLOGY AND INFECTIOUS DISEASE CANADA = JOURNAL OFFICIEL DE L'ASSOCIATION POUR LA MICROBIOLOGIE MEDICALE ET L'INFECTIOLOGIE CANADA 2021; 6:168-172. [PMID: 36341030 PMCID: PMC9608693 DOI: 10.3138/jammi-2020-0051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Accepted: 02/20/2021] [Indexed: 06/16/2023]
Abstract
Nodular skin lesions are infrequently reported among patients with syphilis. We describe a 42-year-old man with secondary syphilis who presented with a nodular cutaneous eruption involving his neck, upper chest, back, arms, and legs. Because there was uncertainty regarding the diagnosis at presentation, the patient underwent a punch biopsy of one of the lesions. Spirochetes were not seen with a Steiner silver stain, but they were visualized on subsequent immunohistochemical staining. The diagnosis was confirmed with serology, and the patient responded well to treatment with benzathine penicillin G. Given the current increase in syphilis cases across North America, it is critical that clinicians become familiar with some of the less common dermatologic manifestations of this infection so that the diagnosis is entertained and appropriate serologic testing is ordered in a timely fashion.
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Affiliation(s)
- Majid Darraj
- Department of Medicine, Jazan University, Jazan, Saudi Arabia
| | - Andrew Walkty
- Department of Internal Medicine, Section of Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
- Department of Medical Microbiology & Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
- Shared Health, Winnipeg, Manitoba, Canada
| | - John Toole
- Department of Internal Medicine, Section of Dermatology, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Thomas Marrie
- Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
| | - Leah Huzel
- Department of Pathology, DynaCare Laboratories, Winnipeg, Manitoba, Canada
| | - John M Embil
- Department of Internal Medicine, Section of Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
- Department of Medical Microbiology & Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
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Wu CY, Lo CY, Liang CW, Jee SH, Chu CH. Rapidly evolving papulonecrotic eruption in a middle-aged man. Int J Dermatol 2019; 59:687-689. [PMID: 31829439 DOI: 10.1111/ijd.14733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/24/2019] [Accepted: 11/06/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Chen-Yu Wu
- Department of Dermatology, Cathay General Hospital, Taipei, Taiwan
| | - Cheng-Yu Lo
- Department of Pathology, Cathay General Hospital, Taipei, Taiwan
| | - Cher-Wei Liang
- Department of Pathology, Fu Jen Catholic University Hospital, Fu Jen Catholic University, New Taipei City, Taiwan
| | - Shiou-Hwa Jee
- Department of Dermatology, Cathay General Hospital, Taipei, Taiwan.,Department of Dermatology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
| | - Chien-Ho Chu
- Department of Dermatology, Cathay General Hospital, Taipei, Taiwan.,Department of Dermatology, Hsinchu Cathay General Hospital, Hsinchu, Taiwan.,School of Medicine, College of Medicine, Fu Jen Catholic University, New Taipei, Taiwan
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4
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Sun Y, Mei X, Gao C, Wu Z. Multiple rapidly growing necrotic eruptions on the face. Clin Exp Dermatol 2018; 44:422-424. [PMID: 30230004 DOI: 10.1111/ced.13739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/01/2018] [Indexed: 11/27/2022]
Affiliation(s)
- Y Sun
- Department of Dermatology, Shanghai First People's Hospital, Shanghai Jiaotong University, Shanghai, China
| | - X Mei
- Department of Dermatology, Shanghai First People's Hospital, Shanghai Jiaotong University, Shanghai, China
| | - C Gao
- Department of Dermatology, Shanghai First People's Hospital, Shanghai Jiaotong University, Shanghai, China
| | - Z Wu
- Department of Dermatology, Shanghai First People's Hospital, Shanghai Jiaotong University, Shanghai, China
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