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Arthropod Bite-Like Eruption as Rare Presentation of Secondary Syphilis in an HIV-Infected Patient

Secondary syphilis represents a diagnostic challenge due to its varied clinical manifestations. Co-infection with human immunodeficiency virus (HIV) adds to the diversity of the clinical presentation of syphilis. We herein report a case of secondary syphilis as an arthropod bite-like eruption in a p...

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Autores principales: Chen, Chih-Yu, Lu, Yu-Hsuan, Lin, Yu-Chun, Hung, Chih-Tsung, Wang, Wei-Ming, Chiang, Chien-Ping
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7423235/
https://www.ncbi.nlm.nih.gov/pubmed/32831374
http://dx.doi.org/10.4103/ijd.IJD_522_18
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author Chen, Chih-Yu
Lu, Yu-Hsuan
Lin, Yu-Chun
Hung, Chih-Tsung
Wang, Wei-Ming
Chiang, Chien-Ping
author_facet Chen, Chih-Yu
Lu, Yu-Hsuan
Lin, Yu-Chun
Hung, Chih-Tsung
Wang, Wei-Ming
Chiang, Chien-Ping
author_sort Chen, Chih-Yu
collection PubMed
description Secondary syphilis represents a diagnostic challenge due to its varied clinical manifestations. Co-infection with human immunodeficiency virus (HIV) adds to the diversity of the clinical presentation of syphilis. We herein report a case of secondary syphilis as an arthropod bite-like eruption in a previously undiagnosed HIV-coinfected patient. A 24-year-old homosexual male presented with multiple corticosteroid-resistant insect bite-like nodules on his trunk and bilateral arms. Skin biopsy disclosed plasma cell infiltration and positive Treponema pallidum staining. His symptoms got dramatic remission after benzathine penicillin G therapy. The presented case extends the clinical spectrum of secondary syphilis in HIV patient.
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spelling pubmed-74232352020-08-20 Arthropod Bite-Like Eruption as Rare Presentation of Secondary Syphilis in an HIV-Infected Patient Chen, Chih-Yu Lu, Yu-Hsuan Lin, Yu-Chun Hung, Chih-Tsung Wang, Wei-Ming Chiang, Chien-Ping Indian J Dermatol Case Report Secondary syphilis represents a diagnostic challenge due to its varied clinical manifestations. Co-infection with human immunodeficiency virus (HIV) adds to the diversity of the clinical presentation of syphilis. We herein report a case of secondary syphilis as an arthropod bite-like eruption in a previously undiagnosed HIV-coinfected patient. A 24-year-old homosexual male presented with multiple corticosteroid-resistant insect bite-like nodules on his trunk and bilateral arms. Skin biopsy disclosed plasma cell infiltration and positive Treponema pallidum staining. His symptoms got dramatic remission after benzathine penicillin G therapy. The presented case extends the clinical spectrum of secondary syphilis in HIV patient. Wolters Kluwer - Medknow 2020 /pmc/articles/PMC7423235/ /pubmed/32831374 http://dx.doi.org/10.4103/ijd.IJD_522_18 Text en Copyright: © 2020 Indian Journal of Dermatology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Chen, Chih-Yu
Lu, Yu-Hsuan
Lin, Yu-Chun
Hung, Chih-Tsung
Wang, Wei-Ming
Chiang, Chien-Ping
Arthropod Bite-Like Eruption as Rare Presentation of Secondary Syphilis in an HIV-Infected Patient
title Arthropod Bite-Like Eruption as Rare Presentation of Secondary Syphilis in an HIV-Infected Patient
title_full Arthropod Bite-Like Eruption as Rare Presentation of Secondary Syphilis in an HIV-Infected Patient
title_fullStr Arthropod Bite-Like Eruption as Rare Presentation of Secondary Syphilis in an HIV-Infected Patient
title_full_unstemmed Arthropod Bite-Like Eruption as Rare Presentation of Secondary Syphilis in an HIV-Infected Patient
title_short Arthropod Bite-Like Eruption as Rare Presentation of Secondary Syphilis in an HIV-Infected Patient
title_sort arthropod bite-like eruption as rare presentation of secondary syphilis in an hiv-infected patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7423235/
https://www.ncbi.nlm.nih.gov/pubmed/32831374
http://dx.doi.org/10.4103/ijd.IJD_522_18
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