Secondary syphilis in a 55 year-old homosexual male
Journal of the Philippine Dermatological Society
; : 35-37, 2008.
Article
in En
| WPRIM
| ID: wpr-633109
Responsible library:
WPRO
ABSTRACT
We report a case of a 55-year old sexually active homosexual male who presented with one month duration of erythematous, non-pruritic papules on the forehead, nape, scalp, chest, back, extremities and genitals and the presence of coppery-red, slightly scaling macules on the palms and soles. RPR (>1:16 dilution) and TPPA were reactive. A 4-mm skin punch biopsy revealed hyperplasia of the epidermis, focal areas of erythrocytic exocytosis with mild spongiosis and vacuolar degeneration of the basal cell layer, and many superficial and deep moderately dense perivascular granulomous inflammatory infilitrates consisting of histiocytes, lymphocytes, many plasma cells, some neutrophils, nuclear dusts and few eosinophils. The patient was given a single dose of 2.4M units of benzathine penicillin G, divided into each buttock. A repeat quantitative RPR was scheduled after 6 and 12 months to monitor the patient's titer.
Full text:
1
Index:
WPRIM
Main subject:
Penicillin G Benzathine
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Plasma Cells
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Scalp
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Skin
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Buttocks
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Eosinophils
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Epidermis
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Exocytosis
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Sexual and Gender Minorities
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Histiocytes
Limits:
Humans
/
Male
Language:
En
Journal:
Journal of the Philippine Dermatological Society
Year:
2008
Type:
Article