Cargando…
Secondary syphilis presenting as Syphilide psoriasiforme: lessons from the older syphilology literature
It is essential for health care providers to be familiared with the full spectrum of clinical presentations of syphilis. We present herein a case of syphilide psoriasiforme, an uncommon but well recognized clinical presentation of secondary syphilis. A 46-year-old HIV-infected female patient was ref...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Instituto de Medicina Tropical
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7178809/ https://www.ncbi.nlm.nih.gov/pubmed/32236388 http://dx.doi.org/10.1590/S1678-9946202062021 |
_version_ | 1783525541471584256 |
---|---|
author | Martins, Carlos José Lima, Ricardo Barbosa Eyer-Silva, Walter de Araujo Almenara, Camila Bastos Carvalho-Rangel, Isabelle Carvalho, Ricardo de Souza Basílio-de-Oliveira, Rodrigo Panno de Araujo, Luciana Ferreira Ferry, Fernando Raphael de Almeida da Silva, Leila Rangel |
author_facet | Martins, Carlos José Lima, Ricardo Barbosa Eyer-Silva, Walter de Araujo Almenara, Camila Bastos Carvalho-Rangel, Isabelle Carvalho, Ricardo de Souza Basílio-de-Oliveira, Rodrigo Panno de Araujo, Luciana Ferreira Ferry, Fernando Raphael de Almeida da Silva, Leila Rangel |
author_sort | Martins, Carlos José |
collection | PubMed |
description | It is essential for health care providers to be familiared with the full spectrum of clinical presentations of syphilis. We present herein a case of syphilide psoriasiforme, an uncommon but well recognized clinical presentation of secondary syphilis. A 46-year-old HIV-infected female patient was referred to our attention with a presumptive diagnosis of palmoplantar psoriasis. On examination, there were exuberant pinkish-red papules and plaques covered with a thick silvery scale in the palms, flexor surfaces of the wrists, and the medial longitudinal arches of the feet. Serological and histopathological analyses uncovered the diagnosis of syphilis. Clinical remission was obtained after treatment. A detailed review of the literature on syphilide psoriasiforme, including descriptions from older syphilology textsis provided. The present case report emphasizes the need for clinicians to have a heightened awareness of the varied and unusual clinical phenotypes of syphilis. |
format | Online Article Text |
id | pubmed-7178809 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Instituto de Medicina Tropical |
record_format | MEDLINE/PubMed |
spelling | pubmed-71788092020-05-01 Secondary syphilis presenting as Syphilide psoriasiforme: lessons from the older syphilology literature Martins, Carlos José Lima, Ricardo Barbosa Eyer-Silva, Walter de Araujo Almenara, Camila Bastos Carvalho-Rangel, Isabelle Carvalho, Ricardo de Souza Basílio-de-Oliveira, Rodrigo Panno de Araujo, Luciana Ferreira Ferry, Fernando Raphael de Almeida da Silva, Leila Rangel Rev Inst Med Trop Sao Paulo Case Report It is essential for health care providers to be familiared with the full spectrum of clinical presentations of syphilis. We present herein a case of syphilide psoriasiforme, an uncommon but well recognized clinical presentation of secondary syphilis. A 46-year-old HIV-infected female patient was referred to our attention with a presumptive diagnosis of palmoplantar psoriasis. On examination, there were exuberant pinkish-red papules and plaques covered with a thick silvery scale in the palms, flexor surfaces of the wrists, and the medial longitudinal arches of the feet. Serological and histopathological analyses uncovered the diagnosis of syphilis. Clinical remission was obtained after treatment. A detailed review of the literature on syphilide psoriasiforme, including descriptions from older syphilology textsis provided. The present case report emphasizes the need for clinicians to have a heightened awareness of the varied and unusual clinical phenotypes of syphilis. Instituto de Medicina Tropical 2020-03-30 /pmc/articles/PMC7178809/ /pubmed/32236388 http://dx.doi.org/10.1590/S1678-9946202062021 Text en https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Martins, Carlos José Lima, Ricardo Barbosa Eyer-Silva, Walter de Araujo Almenara, Camila Bastos Carvalho-Rangel, Isabelle Carvalho, Ricardo de Souza Basílio-de-Oliveira, Rodrigo Panno de Araujo, Luciana Ferreira Ferry, Fernando Raphael de Almeida da Silva, Leila Rangel Secondary syphilis presenting as Syphilide psoriasiforme: lessons from the older syphilology literature |
title | Secondary syphilis presenting as Syphilide
psoriasiforme: lessons from the older syphilology
literature |
title_full | Secondary syphilis presenting as Syphilide
psoriasiforme: lessons from the older syphilology
literature |
title_fullStr | Secondary syphilis presenting as Syphilide
psoriasiforme: lessons from the older syphilology
literature |
title_full_unstemmed | Secondary syphilis presenting as Syphilide
psoriasiforme: lessons from the older syphilology
literature |
title_short | Secondary syphilis presenting as Syphilide
psoriasiforme: lessons from the older syphilology
literature |
title_sort | secondary syphilis presenting as syphilide
psoriasiforme: lessons from the older syphilology
literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7178809/ https://www.ncbi.nlm.nih.gov/pubmed/32236388 http://dx.doi.org/10.1590/S1678-9946202062021 |
work_keys_str_mv | AT martinscarlosjose secondarysyphilispresentingassyphilidepsoriasiformelessonsfromtheoldersyphilologyliterature AT limaricardobarbosa secondarysyphilispresentingassyphilidepsoriasiformelessonsfromtheoldersyphilologyliterature AT eyersilvawalterdearaujo secondarysyphilispresentingassyphilidepsoriasiformelessonsfromtheoldersyphilologyliterature AT almenaracamilabastos secondarysyphilispresentingassyphilidepsoriasiformelessonsfromtheoldersyphilologyliterature AT carvalhorangelisabelle secondarysyphilispresentingassyphilidepsoriasiformelessonsfromtheoldersyphilologyliterature AT carvalhoricardodesouza secondarysyphilispresentingassyphilidepsoriasiformelessonsfromtheoldersyphilologyliterature AT basiliodeoliveirarodrigopanno secondarysyphilispresentingassyphilidepsoriasiformelessonsfromtheoldersyphilologyliterature AT dearaujolucianaferreira secondarysyphilispresentingassyphilidepsoriasiformelessonsfromtheoldersyphilologyliterature AT ferryfernandoraphaeldealmeida secondarysyphilispresentingassyphilidepsoriasiformelessonsfromtheoldersyphilologyliterature AT dasilvaleilarangel secondarysyphilispresentingassyphilidepsoriasiformelessonsfromtheoldersyphilologyliterature |