title: Tertiary syphilis of the face.
abstract: We report a case of noduloulcerative tertiary syphilis that had gone misdiagnosed as discoid lupus erythematosus for many years. This case is noteworthy for (1) a Jarisch-Herxheimer-like reaction, (2) a dramatic response to penicillin therapy despite the presence of long-standing disease, and (3) posttreatment granulomas of possible hypersensitivity origin.
authors.affiliation: Hahnemann University School of Medicine, Philadelphia, PA.
authors.forename: G
authors.initials: G
authors.lastname: Chung
authors.forename: G R
authors.initials: GR
authors.lastname: Kantor
authors.forename: S
authors.initials: S
authors.lastname: Whipple
mesh_terms: D003937:Diagnosis, Differential; D005148:Facial Dermatoses / Q000473:pathology*; D005260:Female; D006099:Granuloma / Q000473:pathology; D006801:Humans; D008179:Lupus Erythematosus, Discoid / Q000473:pathology; D008875:Middle Aged; D013591:Syphilis, Cutaneous / Q000473:pathology*