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Papulosquamous dermatitis. Syphilis: a forgotten disease?

M Konstantopoulou1, U Andrady, M G Lord

  • 1Department of Dermatology, Ysbyty Gwynedd Hospital, Bangor, UK. Maria.Konstantopoulou@nww-tr.wales.nhs.uk

Dermatology Online Journal
|April 27, 2007
PubMed
Summary

Secondary syphilis, a sexually transmitted infection, was diagnosed in a bisexual, HIV-positive man. This case highlights the importance of considering syphilis in all patients, regardless of HIV status, due to its declining but persistent prevalence.

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Area of Science:

  • Infectious Diseases
  • Public Health
  • Epidemiology

Background:

  • Syphilis, a sexually transmitted infection caused by *Treponema pallidum*, remains a significant global health concern.
  • Despite advances in treatment, syphilis incidence has seen fluctuations, necessitating continued vigilance in diagnosis and management.
  • Human Immunodeficiency Virus (HIV) co-infection is common among individuals with syphilis, influencing clinical presentation and treatment strategies.

Observation:

  • A case of secondary syphilis is presented in a 54-year-old bisexual male with a known history of HIV infection.
  • The patient's presentation underscores the diverse clinical manifestations of secondary syphilis.
  • This case occurred in a contemporary setting, indicating that syphilis, while less common, is still encountered.

Findings:

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  • The diagnosis of secondary syphilis was confirmed in the index patient.
  • The case emphasizes that syphilis can present in individuals with HIV, challenging assumptions about its declining prevalence.
  • Diagnostic considerations for syphilis should remain broad, encompassing diverse patient populations.

Implications:

  • Healthcare providers must maintain a high index of suspicion for syphilis, even in the current era.
  • Screening protocols for sexually transmitted infections should be robust and inclusive of syphilis, irrespective of patient HIV status.
  • Public health efforts should continue to focus on syphilis prevention, diagnosis, and treatment to curb transmission.