Folliculotropic non-alopecic secondary syphilis

Syphilitic Folliculitis: A Case Report With Demonstration of Spirochetes Showing Follicular Epitheliotropism

“…7 This report, as well as 2 others, reveals Treponemal spirochete organisms within hair follicle epithelium associated with acute folliculitis. 8,9 Both of these patients reported no knowledge of primary chancres involving genitals before presentations. Our case, and those described above, all presented with folliculitis but had different concomitant symptoms.…”

Secondary Syphilis and Hiv

“…Other dermatologic signs include mucosal lesions, condylomata lata, alopecia, and generalized lymphadenopathy (4). Secondary syphilis in patients with concurrent HIV may present with a broad spectrum of cutaneous morphologies, which include papulosquamous, lenticular, annular, and pustular lesions and those resembling eczema, leprosy, and mycosis fungoides (5). In patients with advanced HIV, secondary syphilis may present as malignant secondary syphilis.…”

Cutaneous Hematopathology

“…Other cutaneous manifestations include alopecia and condylomata lata, the latter comprising confl uent gray papules in anogenital areas and pitted hyperkeratotic palmoplantar papules, or in severe cases, ulcerative lesions of lues maligna may develop. Shallow, painless ulcers sometimes are seen in mucosal surfaces (Lautenschlager 2006 ;Arias-Santiago et al 2009 ;Pföhler et al 2011 ;Sezer et al 2011 ;Villaseñor-Park et al 2011 ).…”