Cutaneous papules in a patient with AIDS

During the past decade or so, the incidence of syphilis has increased in most parts of the world. In some urban regions, a coinfection with human immunodeficiency virus is disclosed in nearly 50% of the cases. Owing to the polymorphism of the lesions, the clinical diagnosis may be puzzling. The homi...

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Bibliographic Details
Main Authors: Pascale Quatresooz, Claudine Piérard-Franchimont, Philippe Paquet, Gerald E. Piérard
Format: Article
Language:English
Published: PAGEPress Publications 2010-01-01
Series:Dermatology Reports
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/dr/article/view/1417
Description
Summary:During the past decade or so, the incidence of syphilis has increased in most parts of the world. In some urban regions, a coinfection with human immunodeficiency virus is disclosed in nearly 50% of the cases. Owing to the polymorphism of the lesions, the clinical diagnosis may be puzzling. The homing patterns and migration paths of <em>Treponema pallidum</em> in the skin during early syphilis represent the preliminary steps preceding dissemination to other organs. Immunohistochemistry directed to <em>T. pallidum</em> is a convenient means for reaching the diagnosis and for exploring the dissemination process. The present case illustrates the dermal clustering and the vascular spread of <em>T. pallidum</em> in a woman with acquired immu­no deficiency syndrome.
ISSN:2036-7392
2036-7406