Cargando…

Secondary syphilis presenting as a corymbiform syphilide: case report and review

It is essential that healthcare providers are familiar with the full spectrum of clinical presentations of syphilis. A rare manifestation of secondary syphilis is the corymbiform (or corymbose) arrangement, in which a central greater papule is surrounded by smaller satellite lesions. Very few report...

Descripción completa

Detalles Bibliográficos
Autores principales: Eyer-Silva, Walter de Araujo, de Souza, Viviane Primo Basílio, da Silva, Guilherme Almeida Rosa, Brasil, Fernando Vieira, Portela, Alessandra dos Santos, Carvalho, Ricardo de Souza, Neves-Motta, Rogerio, Martins, Carlos José
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Instituto de Medicina Tropical 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103325/
https://www.ncbi.nlm.nih.gov/pubmed/30133600
http://dx.doi.org/10.1590/S1678-9946201860040
Descripción
Sumario:It is essential that healthcare providers are familiar with the full spectrum of clinical presentations of syphilis. A rare manifestation of secondary syphilis is the corymbiform (or corymbose) arrangement, in which a central greater papule is surrounded by smaller satellite lesions. Very few reports of corymbiform syphilis are available in current biomedical databases. We present the case of a 28 year-old HIV-infected male patient on regular, successful antiretroviral therapy who developed an asymptomatic corymbiform maculopapular lesion in the medial aspect of the right thigh. There were also a few brownish macular lesions on the left sole. New serological tests for syphilis (which had been negative in the past) were reactive. The coymbiform lesion slowly regressed and the non-treponemal test reverted to negative after benzathine penicillin G treatment. A review of the literature is provided. This is the first report of corymbiform syphilis in an HIV-infected patient.