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[Syphilitic labial leucokeratosis].
Ann Dermatol Venereol. 1997; 124(9):619-20.AD

Abstract

BACKGROUND

Several diagnoses, including syphilis, can be entertained in patients with leukokeratosis of the buccal mucosa. We report a case of labial leucokeratosis which revealed latent syphilis.

CASE REPORT

A 36-year-old man with a past history of genital syphilis chancre which have been treated 12 years earlier, developed buccal leucokeratosis with no other clinical manifestation. Histology showed dermal infiltration containing plasma cells, polynuclears and lymphocytes. Blood tests were positive for syphilis. Complementary examinations were unable to detect another localization. Leucokeratosis regressed completely after one injection of Extencilline. There has been no recurrence at one year.

DISCUSSION

The clinical and histological presentations of syphilis can mimic different skin diseases. Serodiagnosis alone is significant. Isolated buccal lesions are rarely described in syphilis suggesting serodiagnosis should always be ordered. Whatever the clinical stage of the diseases, serological surveillance after treatment for syphilis is essential.

Authors+Show Affiliations

Service de Dermatologie, Centre Hospitalier Universitaire Purpan, Toulouse.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

fre

PubMed ID

9739924

Citation

el Sayed, F, et al. "[Syphilitic Labial Leucokeratosis]." Annales De Dermatologie Et De Venereologie, vol. 124, no. 9, 1997, pp. 619-20.
el Sayed F, Lefevre JC, Garat H, et al. [Syphilitic labial leucokeratosis]. Ann Dermatol Venereol. 1997;124(9):619-20.
el Sayed, F., Lefevre, J. C., Garat, H., Gorguet, B., Marguery, M. C., & Bazex, J. (1997). [Syphilitic labial leucokeratosis]. Annales De Dermatologie Et De Venereologie, 124(9), 619-20.
el Sayed F, et al. [Syphilitic Labial Leucokeratosis]. Ann Dermatol Venereol. 1997;124(9):619-20. PubMed PMID: 9739924.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Syphilitic labial leucokeratosis]. AU - el Sayed,F, AU - Lefevre,J C, AU - Garat,H, AU - Gorguet,B, AU - Marguery,M C, AU - Bazex,J, PY - 1997/1/1/pubmed PY - 1998/9/18/medline PY - 1997/1/1/entrez SP - 619 EP - 20 JF - Annales de dermatologie et de venereologie JO - Ann Dermatol Venereol VL - 124 IS - 9 N2 - BACKGROUND: Several diagnoses, including syphilis, can be entertained in patients with leukokeratosis of the buccal mucosa. We report a case of labial leucokeratosis which revealed latent syphilis. CASE REPORT: A 36-year-old man with a past history of genital syphilis chancre which have been treated 12 years earlier, developed buccal leucokeratosis with no other clinical manifestation. Histology showed dermal infiltration containing plasma cells, polynuclears and lymphocytes. Blood tests were positive for syphilis. Complementary examinations were unable to detect another localization. Leucokeratosis regressed completely after one injection of Extencilline. There has been no recurrence at one year. DISCUSSION: The clinical and histological presentations of syphilis can mimic different skin diseases. Serodiagnosis alone is significant. Isolated buccal lesions are rarely described in syphilis suggesting serodiagnosis should always be ordered. Whatever the clinical stage of the diseases, serological surveillance after treatment for syphilis is essential. SN - 0151-9638 UR - https://www.unboundmedicine.com/medline/citation/9739924/[Syphilitic_labial_leucokeratosis]_ L2 - http://www.em-consulte.com/retrieve/pii/MDOI-AD-09-1997-124-9-0151-9638-101019-ART93 DB - PRIME DP - Unbound Medicine ER -