01339nas a2200289 4500000000100000008004100001260001300042653001000055653002200065653001900087653001100106653001200117653000900129653001800138653001300156100001400169700002000183700001100203700001400214700001300228700001600241245006500257300000900322490000700331520069700338022001401035 1999 d c1999 Jan10aAdult10aDiagnostic Errors10aHIV Infections10aHumans10aleprosy10aMale10aSkin Diseases10aSyphilis1 aFonseca E1 aGarcĂa-Silva J1 aPozo J1 aYebra M T1 aCuevas J1 aContreras F00aSyphilis in an HIV infected patient misdiagnosed as leprosy. a51-40 v263 a
A 42-year-old man with uveitis and a widespread cutaneous eruption, histopathologically characterized by dermal granulomatous infiltrates with perineurial invasion, was incorrectly diagnosed and treated as having borderline leprosy. Further studies demonstrated secondary syphilis and human immunodeficiency virus (HIV) infection. Standard penicillin therapy resolved his cutaneous and ocular lesions. Reports on clinical and pathological findings of active syphilis in HIV infected patients are scarce but this case and isolated previous case reports suggest that granulomatous infiltrates might be a common feature in secondary syphilis with short evolution in HIV infected patients.
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