Gastric syphilis - Case report

Abstract

Gastric syphilis is an uncommon extracutaneous manifestation of syphilis, occurring in less than 1% of patients, presenting nonspecific clinical manifestations. In general, it occurs on secondary stage. The critical point is the recognition of the syphilitic gastric involvement, without which there may be incorrect diagnosis of malignancy of the digestive tract. In this report, a case of secondary syphilis with gastric involvement that had complete remission with benzathine penicillin will be described.

Sífilis gástrica: desafios do diagnóstico e relato de caso

“…A escolha da terapia antimicrobiana como diagnóstico de prova associada a um monitoramento endoscópico da lesão é um procedimento descrito em muitos relatos de caso 3,8,9 . A terapia antissifilítica determina a melhora dos sintomas clínicos entre 3 a 4 dias após o início do tratamento com penicilina e a melhora das lesões na parede do estomago ocorrem a partir de 10 dias de uso do medicamento 6,10 Dessa forma, espera-se a remissão total do quadro sem a realização de procedimentos cirúrgicos.…”

Secondary Syphilis Presenting As Palmoplantar Psoriasis

“…Finally, secondary syphilis may be characterised by common but less specific alterations, such as pigmentary disorders or alopecia [ 19 , 20 ]. About 30% of patients have oral lesions, such as maculopapular lesions, ulcerations, leukoplakia like plaques or condyloma lata [ 21 ]. Although rare, extra mucocutaneous manifestations of syphilis are numerous and may interest different districts, such as liver, stomach, neurological and vascular systems [ 22 , 23 ].…”