Bone pain as the presenting manifestation of secondary syphilis.
A 31 year old fireman presented with acute pain and tenderness in both shins and forearms. Radiographs were normal but bone scintigraphy showed widespread increased isotope uptake. Serology was consistent with a diagnosis of secondary syphilis, and the patient's symptoms resolved completely six weeks after a course of penicillin.
Department of Rheumatology, London Hospital.
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S
Middleton
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Rowntree
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Rudge
D000328:Adult; D006801:Humans; D008297:Male; D010522:Periostitis / Q000000981:diagnostic imaging / Q000209:etiology*; D011877:Radionuclide Imaging; D012886:Skull / Q000000981:diagnostic imaging; D013587:Syphilis / Q000150:complications* / Q000000981:diagnostic imaging; D013977:Tibia / Q000000981:diagnostic imaging; D014457:Ulna / Q000000981:diagnostic imaging