Condylomata lata of the palms: an unusual site.

El-Rifaie, M. El-Saad

doi:10.1136/sti.56.4.267

Cited by 4 publications

(2 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Unusual sites of occurrence include the axilla, palms, face, umbilicus, and toe webs [ 2 – 7 ]. The reason for the unusual or widespread lesions could be attributed to mechanical friction and local hyperhidrosis [ 2 , 3 ]. The present case showed an extremely rare site for the occurrence of condylomata lata.…”

Section: Discussionmentioning

confidence: 99%

Condyloma lata on the ankle: an unusual location

Ikeda

Goto

Suzaki

et al. 2016

Dermatol Pract Concept

View full text Add to dashboard Cite

A 43-year-old Japanese man presented with reddish nodules on the ankle. The nodules had a yellowish crust and eroded surface. Dermoscopy revealed red to milky-red globules at the periphery and some glomerular vessels in the center and a whitish-pink network, which corresponded to capillary dilatation in the papillary dermis and prominent acanthosis, respectively. These structures were surrounded by a yellowish peripheral structureless area and multiple white, small, round structures in the center, corresponding to the macerated horny layer and keratin plugs. Blood samples were positive for rapid plasma reagin (1:64), Treponema pallidum hemagglutination assay (1:20480), and fluorescent treponemal antibody-absorption (1:1280). A lesional skin biopsy specimen showed irregular acanthosis and papillomatosis. The Warthin-Starry and anti-Treponema pallidum antibody stains on the biopsy specimen revealed many spirochetes in the lower epidermis and the papillary dermis. A diagnosis of secondary syphilis with condylomata lata was made. After one week of treatment with oral benzylpenicillin benzathine hydrate (Bicillin® G granules 400,000 units; Banyu Pharmaceutical Co., Ltd, Tokyo, Japan), 1.6 million units (U) daily, the ankle lesions had resolved with a small ulcer and pigmentation. Although syphilis is a relatively common disease, this case study reports an unusual presentation as well as dermoscopy findings.

show abstract

Section: Discussionmentioning

confidence: 99%

Condyloma lata on the ankle: an unusual location

Ikeda

Goto

Suzaki

et al. 2016

Dermatol Pract Concept

View full text Add to dashboard Cite

show abstract

“…7,15–17 Additionally, there have been single case reports of condyloma lata presenting on the ankle and the palm. 18–19 There have not been any published reports of condyloma lata presenting on the plantar foot, as in our case. Furthermore, our case was unusual in that the patient lacked other cutaneous manifestations of secondary syphilis.…”

Section: Discussionmentioning

confidence: 59%

Condyloma latum of the plantar foot: Case report of an unusual manifestation of secondary syphilis

2021

View full text Add to dashboard Cite

Condyloma lata, a cutaneous manifestation of secondary syphilis, typically presents as verrucous papules or plaques in the anogenital area. Here, we present a case of secondary syphilis presenting in a 38-year-old man as condyloma latum of the plantar foot in the absence of other cutaneous findings of secondary syphilis. The plantar foot is an unusual location for condyloma lata which has not previously been reported in the medical literature. Histopathology was essential to diagnosis in this case and demonstrated verrucous epidermal hyperplasia with a plasma cell-rich infiltrate in the dermis and innumerable spirochetes in the epidermis. The patient was successfully treated with intramuscular penicillin benzathine G. Given the recent rise in the incidence of primary and secondary syphilis, it is essential for clinicians to be aware of atypical presentations of secondary syphilis to avoid delays in treatment and decrease the risk of transmission to sexual partners.

show abstract