A Case of Primary Syphilis on Both Oral Angles.
- Author:
Eui Jong BAE
1
;
Soo Hong SEO
;
Young Chul KYE
;
Hyo Hyun AHN
Author Information
1. Department of Dermatology, College of Medicine, Korea University, Seoul, Korea. gold2000@nate.com
- Publication Type:Case Report
- Keywords:
Extragenital chancre;
Oral angle;
Orogenital sexual contact
- MeSH:
Adult;
Biopsy;
Chancre;
Dermis;
Doxycycline;
Female;
Humans;
Lip;
Mouth;
Neck;
Plasma Cells;
Serologic Tests;
Skin;
Syphilis;
Ulcer
- From:Korean Journal of Dermatology
2010;48(3):240-242
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Primary syphilis affects the genital and, less frequently, the extragenital regions. Approximately two-thirds of extragenital chancres occur above the neck, and about one-half of these are seen on the lips, the perioral region, or in the oral cavity. We present a case of a 32-year-old woman with a 2-month history of discharging ulcers on both oral angles. She had a history of orogenital sexual contact. Serologic tests for syphilis was positive, particularly the VDRL (1:128), confirmed by TPHA. The biopsy specimen showed a predominant infiltration of plasma cells in the dermis. The skin lesions improved after 4 weeks treatment with doxycycline.
