Atypical manifestations of recent syphilis: study of 19 cases

Syphilis is one of the most common diseases that start with genital ulcers. Aside from the initial, classic ulcerative lesion of syphilis, called hard chancre, atypical presentations are common, with erosions, erythema, edema, balanitis, and other dermatological manifestations. Associated with initi...

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Bibliographic Details
Published in:Anais brasileiros de dermatología 2020-09, Vol.95 (5), p.589-593
Main Authors: Sardinha, José Carlos, de Lima, Livia Lima, Heibel, Marcel, Schettini, Antonio, Talhari, Sinesio, Talhari, Carolina
Format: Article
Language:English
Subjects:
Balanitis
DERMATOLOGY
Edema
Hepatitis B
Humans
Investigation
Male
Penis
Syphilis
Syphilis - diagnosis
Syphilis, cutaneous
Treponema pallidum
Treponemal infections
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Summary:Syphilis is one of the most common diseases that start with genital ulcers. Aside from the initial, classic ulcerative lesion of syphilis, called hard chancre, atypical presentations are common, with erosions, erythema, edema, balanitis, and other dermatological manifestations. Associated with initial genital lesions, the presence of inguinal adenopathies is frequent, and the presence of hardened and painless lymphangitis on the dorsum of the penis is rare. To describe atypical penile manifestations in patients with early syphilis. The present study reports patients who developed cord-like lesions on the penis. The study included 25 patients with cord-like lesions on the penis; in 19 of those, the diagnosis of syphilis was confirmed. Small number of patients included. In view of the findings of the present investigation, it is important to emphasize that all patients who present with cord-like lesions on the penis must undergo a rapid test for syphilis, VDRL, serologies for HIV viral hepatitis B and C and, whenever possible, histopathological and Doppler exams.
ISSN:0365-0596
1806-4841
1806-4841
DOI:10.1016/j.abd.2020.03.008