A Case of Syphilid Simulating Purpura Annylaris Telangiectodes.
- Author:
Hee Ok KIM
;
Yeon Sang CHOI
;
Hee Joon YU
;
Sook Ja SON
- Publication Type:Case Report
- Keywords:
Syphilid;
Purpura Annularis Telangiectodes
- MeSH:
Adult;
Exanthema;
Humans;
Lower Extremity;
Male;
Penicillin G Benzathine;
Plasma Cells;
Purpura*;
Serologic Tests;
Skin;
Skin Manifestations;
Syphilis;
Syphilis, Cutaneous*;
Ulcer
- From:Korean Journal of Dermatology
1994;32(5):926-930
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The skin manifestations of secondary syphilis, termed syphilid, show macular, papular and papulosquamous rashes in most cases, but may show lots of other clinical findings. We report a case of syphitid simulating purpura annulsris telangieitodes in 25-year-old male who had a history of genital ulcer 2 months ago. The skin lesion showed diffuse erythematous, 1-3 cm sized, telangiectatic annular patchea and purpuric plaques on both lower extremities and discrete papulosquamous rashes on both soles. The results of the serologic test for syphili was found to be reactive to 32 dilution in serum VDRL test and positive in serum TPHA test. Histovathologically, we could observe the obscuring of dermoepidermal juction, coat-sleeve-like perivascular infiltrate composed of mononuclear cells and a few plasma cells, and endothelial swellings. Afte the treatment with benzathine penicillin G, the titer of serurn VDRL test was decreased abruptly to 4 dilution and the skin lesions disappeared completely.
