title: Atypical early syphilis in an hiv-infected homosexual male.
abstract: A homosexual male, seropositive to HIV and with previously documented syphilitic infections, developed a slowly growing nodule on his left wrist (possibly a chancre) followed, after 2 months, by a few scattered, large papular lesions. Serological evidence of active syphilis was obtained and treponema were identified in the initial lesion by means of immunofluorescent staining. Treatment with both aqueous crystalline penicillin G and benzathine penicillin G healed the lesions. This represents a further case of an atypical presentation of early syphilis in an immunocompromised host.
authors.affiliation: First Clinic of Dermatology, University of Milan, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Cusini
authors.forename: R
authors.initials: R
authors.lastname: Zerboni
authors.forename: S
authors.initials: S
authors.lastname: Muratori
authors.forename: M
authors.initials: M
authors.lastname: Monti
authors.forename: E
authors.initials: E
authors.lastname: Alessi
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D006716:Homosexuality; D006801:Humans; D008297:Male; D008875:Middle Aged; D010400:Penicillin G / Q000627:therapeutic use; D010401:Penicillin G Benzathine / Q000627:therapeutic use; D012867:Skin / Q000473:pathology; D013587:Syphilis / Q000150:complications* / Q000188:drug therapy / Q000473:pathology
chemical_list: D010400:Penicillin G; D010401:Penicillin G Benzathine