Follmann balanitis in secondary syphilis

Area of Science:

• Dermatology
• Infectious Diseases
• Urology

Background:

• Syphilitic balanitis, also known as Follmann balanitis, is an uncommon manifestation of primary syphilis.
• It presents as balanitis, potentially with a primary chancre and inguinal lymphadenopathy.
• Due to its rarity, Follmann balanitis is often misdiagnosed, highlighting the need for clinical awareness, particularly amid a syphilis resurgence.

Purpose of the Study:

• To report a case of Follmann balanitis occurring in the secondary stage of syphilis.
• To emphasize the importance of clinical suspicion and accurate diagnosis of this rare condition.

Main Methods:

• Case report detailing clinical presentation.
• Diagnosis confirmed by syphilis serology.
• Treatment efficacy assessed via clinical response to benzathine penicillin.

Main Results:

• The case presented with clinical features consistent with Follmann balanitis.
• Syphilis serology was positive, confirming the diagnosis.
• The patient showed a positive response to benzathine penicillin treatment.

Conclusions:

• Follmann balanitis can occur in secondary syphilis, not just primary.
• Prompt diagnosis and appropriate treatment, such as with benzathine penicillin, are effective.
• Increased awareness is crucial for recognizing and managing this underreported syphilitic manifestation.