Syphilis associated with paretic neurosyphilis mimicking Reiter’s syndrome in HIV-infected patients
An. bras. dermatol
;
90(3,supl.1): 212-215, May-June 2015. ilus
Article
in English
| LILACS
| ID: lil-755786
ABSTRACT
HIV/syphilis co-infection is common because both conditions affect similar risk groups. HIV interferes with the natural history of syphilis, which often has atypical clinical features and nervous system involvement in the early stage of disease. We report the case of an HIV-positive patient with secondary syphilis, scaling palmoplantar keratoderma, scrotal eczema, balanitis and urethritis mimicking Reiter’s syndrome. Immunohistochemistry using polyclonal antibodies against Treponema pallidum revealed the presence of spirochetes, associated with the paretic form of parenchymal neurosyphilis. The patient was given crystalline penicillin, with complete resolution of dermatological and neurological symptoms, and no sequelae.
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Full text:
Available
Index:
LILACS (Americas)
Main subject:
HIV Infections
/
Arthritis, Reactive
/
Coinfection
/
Neurosyphilis
Type of study:
Diagnostic study
/
Risk factors
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
An. bras. dermatol
Journal subject:
Dermatology
Year:
2015
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Faculdade de Medicina do ABC/BR
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