[Undiagnosed early secondary syphilis with horny palmar and plantar papules]. / Neraspoznannyi vtorichnyi svezhii sifilis s rogovymi ladonno-podoshvennymi papulami.

A 20-year-old female patient is described who contracted syphilis in a rape attempt. She consulted a dermatovenereologist twice but the disease was not diagnosed, for despite the fact that the patient had hard chancre fragments on the posterior adhesion of the vagina, polyscleradenitis, abundant roseolar eruption on the trunk skin, horny palmar and plantar papular efflorescence, erythematous syphilitic tonsillitis, she was not examined nor serological tests were carried out. The condition was diagnosed as callosity and acute respiratory viral disease, antihistaminic and antibiotic drugs were prescribed. The condition was diagnosed only in a month after the first visit to a doctor.

[Acute Lipschütz-Chapin vulvar ulcer]. / Ostraia iazva vul'vy Lipshiuttsa--Chapina.

A 17-year-old female patient is described, who had a sexual intercourse, the only in her life, a year before. Hectic temperature has developed in the presence of an exacerbation of chronic decompensated tonsillitis; the general status has essentially deteriorated. A sharply painful ulcer, up to 2 cm in diameter, was seen on the lower third of the involved labium majus; Lactobacilli casei were isolated from the discharge from this ulcer. After 2 weeks of antibiotic and immunocorrective therapy a delicate atrophic cicatrix has formed. The factors that helped diagnose the Lipschütz-Chapin acute vulvar ulcer were exacerbation of a chronic focal infection, anemia, leucocytosis, thrombocytopenia, dysproteinemia, and disordered cellular and humoral immunity.