Korean J Dermatol.  2003 Jul;41(7):980-982.

A Case of Psoriasiform Syphilid

Affiliations
  • 1Department of Dermatology, College of Medicine, Dongguk University, Kyongju, Korea. mksuhmd@hanmail.net
  • 2Department of Clinical Pathology, College of Medicine, Dongguk University, Kyongju, Korea.
  • 3Department of Pathology, College of Medicine, Dongguk University, Kyongju, Korea.

Abstract

Psoriasiform lesion is rare in secondary syphilis. We report a case of psoriasiform syphilid in a 36-year-old man, who showed condyloma lata on the perianal area and multiple erythematous scaly plaques on the face, glans penis, scrotum, and both palms and soles. He had sexual contact with prostitute about 3 months ago. The differential diagnosis included papulosquamous diseases, especially psoriasis but a psoriasiform syphilid was confirmed through skin biopsies and serologic tests. The patient was treated with benzathine penicillin G 2.4 million units intramuscularly weekly for 3 weeks. After the treatment with benzathine penicillin G, the skin lesions disappeared completely.

Keyword

Psoriasiform syphilid; Condyloma lata

MeSH Terms

Adult
Biopsy
Diagnosis, Differential
Humans
Male
Penicillin G Benzathine
Penis
Psoriasis
Scrotum
Serologic Tests
Sex Workers
Skin
Syphilis
Syphilis, Cutaneous*
Penicillin G Benzathine
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