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Gastric syphilis: radiologic findings

B V Jones1, J E Lichtenstein

  • 1Department of Diagnostic Radiology, University of Cincinnati Hospitals, OH 45267.

AJR. American Journal of Roentgenology
|January 1, 1993
PubMed
Summary

Syphilis, a bacterial infection, is resurging in the US. This study highlights its gastric manifestations, which can mimic other serious conditions and require renewed attention from healthcare professionals.

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Area of Science:

  • Infectious Diseases
  • Gastroenterology
  • Radiology

Background:

  • Syphilis (Treponema pallidum) is a significant public health concern.
  • Radiologic manifestations of syphilis received less attention after antibiotics became widespread.
  • A 34% increase in primary and secondary syphilis from 1981-1989 necessitates renewed focus on its classic signs.

Purpose of the Study:

  • To review the varied radiologic findings of gastric syphilis.
  • To emphasize the importance of recognizing gastric syphilis in differential diagnoses.

Main Methods:

  • Review of cases submitted to the Armed Forces Institute of Pathology.
  • Analysis of cases from the University of Cincinnati teaching file.

Main Results:

  • Syphilis can cause diverse gastric lesions in secondary and tertiary stages.
  • Gastric syphilis can mimic gastritis, ulcers, or gastric carcinoma.
  • Early secondary syphilis presents with acute gastritis, the earliest radiologic sign.

Conclusions:

  • The resurgence of syphilis warrants renewed attention to its gastrointestinal manifestations.
  • Radiologists and clinicians should consider gastric syphilis in their differential diagnoses.
  • Recognizing these varied findings is crucial for accurate diagnosis and treatment.

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