Syphilis associated with paretic neurosyphilis mimicking Reiter's syndrome in HIV-infected patients.

Abstract:

:HIV/syphilis co-infection is common because both conditions affect similar risk groups. HIV interferes with the natural history of syphilis, which often has atypical clinical features and nervous system involvement in the early stage of disease. We report the case of an HIV-positive patient with secondary syphilis, scaling palmoplantar keratoderma, scrotal eczema, balanitis and urethritis mimicking Reiter's syndrome. Immunohistochemistry using polyclonal antibodies against Treponema pallidum revealed the presence of spirochetes, associated with the paretic form of parenchymal neurosyphilis. The patient was given crystalline penicillin, with complete resolution of dermatological and neurological symptoms, and no sequelae.

journal_name

An Bras Dermatol

authors

Bastos TC,Maia DC,Gomes NM,Menezes CK,Francesconi V,Francesconi F

doi

10.1590/abd1806-4841.20153625

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

212-5

issue

3 Suppl 1

eissn

0365-0596

issn

1806-4841

pii

S0365-05962015000700212

journal_volume

90

pub_type

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