Primary syphilitic chancre on the upper arm in an HIV-1-infected patient

Aichelburg, Maximilian C.; Rieger, Armin

doi:10.1258/ijsa.2011.011442

Cited by 3 publications

(2 citation statements)

References 14 publications

(10 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The site of chancre depends on the mode of sexual contact, which commonly involve the external genitalia and less commonly, the cervix,[ 26 ] anus,[ 27 ] lips,[ 28 ] tongue,[ 29 ] oral cavity,[ 30 ] fingers[ 31 ] and upper arm. [ 32 ] Often, there is painless local lymphadenopathy. Left untreated, the local syphilitic chancres heal spontaneously within 3 to 6 weeks, when the disease progresses to secondary syphilis, with widespread systemic dissemination of the T. pallidum bacteria.…”

Section: Syphilismentioning

confidence: 99%

Approach to Patient with a Generalized Rash

Leung

Soeyonggo

2013

J Family Med Prim Care

View full text Add to dashboard Cite

Background:Generalized rash is amongst the most common conditions presented to practicing General Practitioners and common differentials include contact dermatitis, atopic eczema, sun-induced damage, drug eruption and general manifestations of systemic diseases or infections.Materials and Methods:We illustrate with differential diagnoses our clinical case of a generalized rash in a 55-year-old man with pathognomonic signs of a diagnosis, which has received increasing global concern.Conclusion:Despite the array of available laboratory tests, a detailed history and physical examination is still of paramount importance to arrive at the most likely diagnosis for any patient with a generalized skin rash.

show abstract

Section: Syphilismentioning

confidence: 99%

Approach to Patient with a Generalized Rash

Leung

Soeyonggo

2013

J Family Med Prim Care

View full text Add to dashboard Cite

show abstract

“…Aichelburg and Rieger 1 report in this journal of a primary syphilitic chancre on the upper arm. To their knowledge only three cases of syphilitic chancres have been described on the arm, hand and finger.…”

mentioning

confidence: 93%

Primary syphilitic chancres on arms, fingers and hands: more common than reported

Kompanje

2013

Int J STD AIDS

View full text Add to dashboard Cite

Aichelburg and Rieger 1 report in this journal of a primary syphilitic chancre on the upper arm. To their knowledge only three cases of syphilitic chancres have been described on the arm, hand and finger. However, the older literature is loaded with descriptions of extra-genital chancres, among which there are numerous cases on the hands, fingers and arms. 2-5 Alfred Fournier 6 found among 642 extra-genital chancres, 56 (23%) on the upper extremity. Jeanselme 7 reported on 31,669 extra-genital chancres and found among those 1881 primary chancres on the fingers and hand and 198 on the arms. Primary chancres of the finger were at the end of the 19th century and first half of the 20th century a well-known occupational hazard of physicians, surgeons, midwives, nurses and dentists caring for syphilitic patients. They result from manipulations involving the genitalia both in diagnosis and operative work and in digital explorations of the oral cavity. Many cases of primary chancres on the fingers in health-care workers 8-11 and after direct sexual contact 12-15 are described. There are also cases of primary syphilis on the wrist, 16 hand 8,17 and arm. 18 Among the extra-genital syphilitic chancres, those on fingers, hands and arms are less rare than usually reported, especially when one studies the older handbooks and articles on venereal diseases. It is then no trouble to find literature mentioning, describing and illustrating more than 2500 cases of primary syphilis of the finger, hand and arm.

show abstract