Annular Erythematous Scaly Lesions on the Face: A Quiz

Li, Jiu‐Hong; Yang, Xiao-Yi; Cao, Jie; Wang, Xiao-Lu; Guo, Hao; Amer, Abdulrahman A A

doi:10.2340/00015555-2614

Cited by 3 publications

(1 citation statement)

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“…Annular Syphilids have a generalized and symmetric distribution although localization to the palms and soles [8] or genitals is common it can also be found on face, anogenital and axilla [9]. Pruritus may or may not be present [10] Secondary Annular syphilis Nodular Erythematous lesions [11], Syphilis cornee [corn like lesions on soles] [12] and striking collar scales can affect the palms and feet soles [13]. Treponema pallidum hemagglutination test [TPHA] strong positivity suggested recently acquired untreated active secondary syphilis thus, the gold standard for diagnosis of Syphilis and penicillin G is treatment of the clinical protocol and therapeutic guidelines for sexually transmitted infections5 recommend the use of benzathine benzylpenicillin 2.4 million international units (IU), intramuscularly (IM), in a single-dose (1.2 million in each gluteus)…”

Section: Discusionmentioning

confidence: 99%

A Case Report of Annular Palmoplantar Syphils in This Post Covid 19 Antibiotic Era

Nikhat,

Meher

2023

PIJR

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Syphilis is an age old major sexually transmitted disease caused by treponema pallidum which can't be forgotten in the differential diagnosis even in this 21st century of wide antibiotics usage era specially in the post covid 19times. Conclusion Syphilis shows a good response to penicillin treatment and requires vigilance on the part of practitioners. We are reporting a High Index of suspicion arises with atypical clinical manifestations, Specific localized atypical, almost rare form of annular syphilis case in a world of widely antibiotic usage era mostly post covid 19. Henceforth all the healthcare providers should be consulted by public health professionals who are following up on a patient with a positive syphilis (or other Sexually Transmitted Infections) case. Dermatologists play an important role in the recognition and management of syphilis. Timely diagnosis, appropriate management as well as public health interventions are key in controlling syphilis infection and its spread. Finally, Annular secondary syphilis has a good response to penicillin treatment. Aim Early diagnosis of syphilis is vital as it is easily treated in its early stages with a single dose of benzathine penicillin. Timely and effective treatment of early syphilis is important to prevent onward transmission and progression to tertiary syphilis or the mucocutaneous lesions of secondary syphilis (“syphilids”). Objectives Syphilis cases should be reported by stage to the local or state health department as soon as possible Background Syphilis is an infection caused by Treponema pallidum, mainly transmitted by sexual contact [1]. Since 2001, primary and secondary syphilis rates started to rise, with an epidemic resurgence. Syphilis is global prevalence and incidence remain high in post COVID19. It is divided into primary syphilis, secondary syphilis, tertiary syphilis, and neurosyphilis. Its florid presentation renders the name “the great imitator” great mimicker “Lues” “THE GREAT POX” [2]

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Section: Discusionmentioning

confidence: 99%