Gastric syphilis mimicking linitis plastica.
The decreased incidence of gastric syphilis has made its clinical presentation less widely appreciated. A 61-year-old man suffering from epigastric pain, nausea, and vomiting had an initial diagnosis of gastric carcinoma; the pathologic diagnosis was equivocal. Eventually, gastric syphilis was diagnosed. In the context of the case described below, positive serologic findings in a relatively young adult should raise the suspicion of gastric syphilis. Carcinoma must be ruled out, lest the patient lose valuable time while being treated for syphilis.
Abdu
R A
RA
Department of Surgery, St Elizabeth Hospital Medical Center, Youngstown, Ohio 44501-1790.
Carter
K
K
Pomidor
W J
WJ
D001706:Biopsy; D003937:Diagnosis, Differential; D016508:Fluorescent Treponemal Antibody-Absorption Test; D005743:Gastrectomy; D005773:Gastroscopy; D006801:Humans; D006984:Hypertrophy; D008297:Male; D008875:Middle Aged; D013272:Stomach Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D013587:Syphilis / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery