Treponema Pallidum epidermotropism in nodular secondary syphilis

Nodular secondary syphilis results from the hematogenous and lymphatic dissemination of spirochetes. Clinically, the lesions appear as partially infiltrated plaques or red-violaceous nodules, which can be solitary or multiple. Several hypotheses have been put forward to explain the formation of thes...

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Bibliographic Details
Main Authors: Jorge Magdaleno-Tapial, Cristian Valenzuela-Oñate, José María Ortiz-Salvador, Pablo Hernández-Bel, Víctor Alegre-De Miquel
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Indian Journal of Dermatology
Subjects:
Online Access:http://www.e-ijd.org/article.asp?issn=0019-5154;year=2018;volume=63;issue=6;spage=509;epage=511;aulast=Magdaleno-Tapial
Description
Summary:Nodular secondary syphilis results from the hematogenous and lymphatic dissemination of spirochetes. Clinically, the lesions appear as partially infiltrated plaques or red-violaceous nodules, which can be solitary or multiple. Several hypotheses have been put forward to explain the formation of these infiltrated or granulomatous lesions. Among the most accepted are the specific hypersensitivity reactions to Treponema pallidum or the lenghty duration of the disease. We present a case of nodular syphilis where immunohistochemistry revealed the presence of multiple spirochetes invading the epidermis.
ISSN:0019-5154
1998-3611