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Secondary syphilis with exclusive peno-scrotal localization.
G Ital Dermatol Venereol. 2009 Dec; 144(6):725-8.GI

Abstract

Syphilis is a sexually transmitted disease, caused by Treponema pallidum subspecies pallidum, its incidence, in the last decade, has significantly increased both in Western World and in developing countries. It represents a global health problem: it is estimated that each year the new cases of syphilis account for about 12 millions. The diagnosis is not always easy, especially in secondary syphilis in which the cutaneous manifestations are quite variable and should be considered in the differential diagnosis. A 26-year-old homosexual man had from some days papular lesions in the scrotum and penis. Four months before he had consulted a surgeon for the presence of an ulcerated nodular lesion in the perianal area, which advised to remove it in the suspicion of cancer. The patient declined surgery while observing in the following weeks a gradual and complete disappearance of the lesion. On the basis of clinical history, clinical features and laboratory results, a diagnosis of secondary syphilis with an exclusive peno-scrotal localization was made and systemic therapy with diaminocillin was started that led to complete resolution of skin lesions and to significant reduction of sierologic values.

Authors+Show Affiliations

Dermatologic Clinic, University of Catania, University Hospital G. Rodolico Policlinic, Catania, Italy. f.dinotta@unict.itNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19907410

Citation

Dinotta, F, et al. "Secondary Syphilis With Exclusive Peno-scrotal Localization." Giornale Italiano Di Dermatologia E Venereologia : Organo Ufficiale, Societa Italiana Di Dermatologia E Sifilografia, vol. 144, no. 6, 2009, pp. 725-8.
Dinotta F, De Pasquale R, Micali G. Secondary syphilis with exclusive peno-scrotal localization. G Ital Dermatol Venereol. 2009;144(6):725-8.
Dinotta, F., De Pasquale, R., & Micali, G. (2009). Secondary syphilis with exclusive peno-scrotal localization. Giornale Italiano Di Dermatologia E Venereologia : Organo Ufficiale, Societa Italiana Di Dermatologia E Sifilografia, 144(6), 725-8.
Dinotta F, De Pasquale R, Micali G. Secondary Syphilis With Exclusive Peno-scrotal Localization. G Ital Dermatol Venereol. 2009;144(6):725-8. PubMed PMID: 19907410.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Secondary syphilis with exclusive peno-scrotal localization. AU - Dinotta,F, AU - De Pasquale,R, AU - Micali,G, PY - 2009/11/13/entrez PY - 2009/11/13/pubmed PY - 2010/6/9/medline SP - 725 EP - 8 JF - Giornale italiano di dermatologia e venereologia : organo ufficiale, Societa italiana di dermatologia e sifilografia JO - G Ital Dermatol Venereol VL - 144 IS - 6 N2 - Syphilis is a sexually transmitted disease, caused by Treponema pallidum subspecies pallidum, its incidence, in the last decade, has significantly increased both in Western World and in developing countries. It represents a global health problem: it is estimated that each year the new cases of syphilis account for about 12 millions. The diagnosis is not always easy, especially in secondary syphilis in which the cutaneous manifestations are quite variable and should be considered in the differential diagnosis. A 26-year-old homosexual man had from some days papular lesions in the scrotum and penis. Four months before he had consulted a surgeon for the presence of an ulcerated nodular lesion in the perianal area, which advised to remove it in the suspicion of cancer. The patient declined surgery while observing in the following weeks a gradual and complete disappearance of the lesion. On the basis of clinical history, clinical features and laboratory results, a diagnosis of secondary syphilis with an exclusive peno-scrotal localization was made and systemic therapy with diaminocillin was started that led to complete resolution of skin lesions and to significant reduction of sierologic values. SN - 0392-0488 UR - https://www.unboundmedicine.com/medline/citation/19907410/Secondary_syphilis_with_exclusive_peno_scrotal_localization_ L2 - http://www.minervamedica.it/index2.t?show=R23Y2009N06A0725 DB - PRIME DP - Unbound Medicine ER -