Syphilitic balanitis of Follmann developing after the appearance of the primary chancre. A case report.

Lejman, K; Starzycki, Z

doi:10.1136/sti.51.2.138

Cited by 16 publications

(33 citation statements)

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“…However, chancres may be multiple, painful, purulent, destructive, extragenital (most frequently oral) and may cause the syphilitic balanitis of Follman. 8 There may also be mixed aetiology. 9 Any anogenital ulcer should be considered to be due to syphilis unless proven otherwise.…”

Section: Classificationmentioning

confidence: 99%

UK National Guidelines on the Management of Syphilis 2008

Kingston¹,

et al. 2008

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HIV-positive patients: Treat as appropriate for stage of infection, that is, HIV-positive patients are treated with the same regimens as HIV-negative patients † Management of sexual partners: Recognition that partner notification may be difficult in context of current syphilis outbreaks and achieving 60% partner notification rates is not always possible and screening in high-risk venues may be appropriate. † Auditable outcomes: Measuring rapid plasma reagin test (RPR)/Venereal Diseases Research Laboratory (VDRL) at commencement of therapy introduced as an auditable outcome. † Appendices:-Reference to sources of procaine penicillin G-Use of lidocaine as diluent for Benzathine penicillin G DIAGNOSIS History and examination † Symptoms of early syphilis † Details of previous treatment (place of treatment, diagnosis made, treatment given, RPR/VDRL titre at discharge) † Obstetric history, potential complications of syphilis e.g. miscarriages, stillbirths † Blood donation and antenatal screening history † Other treponemal infections; yaws, pinta and a history of living in countries where these conditions are endemic † In early infection examination of the genitals, skin, mucosal surfaces and lymph nodes for signs of primary and secondary syphilis. † In late and congenital syphilis a thorough clinical examination should be undertaken for the clinical manifestations of syphilis. This should include a full systems review including skin and mucosal surfaces, lymph nodes, cardiovascular and neurological systems.

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Section: Classificationmentioning

confidence: 99%

UK National Guidelines on the Management of Syphilis 2008

Kingston¹,

et al. 2008

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“…Subsequently, in the literature, publications about BSF have been rare. Lejman and Starzycki published in 1975 a patient whose balanitis was preceded by the appearance of syphilitic chancre. The same authors have explained the pathogenesis of SBF considering it is due to an active penetration of Treponema pallidum through the epidermis with an hematogenous origin, and intraepidermal proliferation of this would lead to a massive accumulation of Treponema pallidum (analogous to condyloma lata) .…”

Section: Discussionmentioning

confidence: 99%

“…SBF is considered a manifestation of primary syphilis as well as syphilitic chancre . The clinical appearance is variable, glans penis appearing edematous with the presence of a dark red erythema that can cover the whole glans, showing erosions or partially coalescent smooth white papules and plaques on the surface . Diffuse induration of the glans penis is sometimes present .…”

Section: Discussionmentioning

confidence: 99%

“…Diffuse induration of the glans penis is sometimes present . Syphilitic chancre may be absent, associated with or occur after the balanitis, but inguinal lymphadenopathy is usually present …”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis of SBF is confirmed by the presence of Treponema pallidum on dark field microscopy and/or on histopathology using silver impregnation stain, and syphilitic serology is positive or is going to become positive . Diagnosis of SBF requires the exclusion of lesions of secondary syphilis and balanoposthitis produced by other infectious pathogens, such as Candida albicans , group B streptococci, anaerobes, herpes simplex virus, etc.…”

Section: Discussionmentioning

confidence: 99%

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Syphilitic balanitis of Follmann

Oanţă

Irimie

2013

Int J Dermatology

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Atypical manifestations of recent syphilis: study of 19 cases

Sardinha¹,

Lima²,

Heibel

et al. 2020

Anais Brasileiros de Dermatologia

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Background Syphilis is one of the most common diseases that start with genital ulcers. Aside from the initial, classic ulcerative lesion of syphilis, called hard chancre, atypical presentations are common, with erosions, erythema, edema, balanitis, and other dermatological manifestations. Associated with initial genital lesions, the presence of inguinal adenopathies is frequent, and the presence of hardened and painless lymphangitis on the dorsum of the penis is rare. Objectives To describe atypical penile manifestations in patients with early syphilis. Methods The present study reports patients who developed cord-like lesions on the penis. Results The study included 25 patients with cord-like lesions on the penis; in 19 of those, the diagnosis of syphilis was confirmed. Study limitations Small number of patients included. Conclusions In view of the findings of the present investigation, it is important to emphasize that all patients who present with cord-like lesions on the penis must undergo a rapid test for syphilis, VDRL, serologies for HIV viral hepatitis B and C and, whenever possible, histopathological and Doppler exams.

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Syphilitic balanitis of Follmann developing after the appearance of the primary chancre. A case report.

Cited by 16 publications

References 1 publication

UK National Guidelines on the Management of Syphilis 2008

UK National Guidelines on the Management of Syphilis 2008

Syphilitic balanitis of Follmann

Atypical manifestations of recent syphilis: study of 19 cases

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