Syphilis in an HIV infected patient misdiagnosed as leprosy.

Important note: Information in this article was accurate in 1999. The state of the art may have changed since the publication date.

Syphilis in an HIV infected patient misdiagnosed as leprosy.

J Cutan Pathol. 1999 Jan;26(1):51-4. Unique Identifier : AIDSLINE MED/99140241
Fonseca E; Garcia-Silva J; del Pozo J; Yebra MT; Cuevas J; Contreras F; Department of Dermatology, Hospital Juan Canalejo, La Coruna,; Spain. Fonseca@canalejo.cesga.es

Abstract: A 42-year-old man with uveitis and a widespread cutaneous eruption, histopathologically characterized by dermal granulomatous infiltrates with perineurial invasion, was incorrectly diagnosed and treated as having borderline leprosy. Further studies demonstrated secondary syphilis and human immunodeficiency virus (HIV) infection. Standard penicillin therapy resolved his cutaneous and ocular lesions. Reports on clinical and pathological findings of active syphilis in HIV infected patients are scarce but this case and isolated previous case reports suggest that granulomatous infiltrates might be a common feature in secondary syphilis with short evolution in HIV infected patients.

Keywords: JOURNAL ARTICLE Adult Case Report *Diagnostic Errors Human HIV Infections/COMPLICATIONS/*DIAGNOSIS Leprosy/*DIAGNOSIS Male Skin Diseases/*DIAGNOSIS Syphilis/COMPLICATIONS/*DIAGNOSIS
990630
A9960922

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