Syphilis-A Case Report I I I I

Atiya Mahboob, Zafar Iqbal, Farrukh Iqbal, Atif Mohyuddin
2001 unpublished
Syphilis is an infectious disease. Although its occurrence has sharply declined in developed countries, it is constantly rising in developing countries. It is completely curable disease. Untreated cases may transmit the disease to other persons on sexual exposure. To highlight these aspects we report a case of secondary syphilis. CASE REPORT A male transporter of 24 years, presented to skin OPD, Shaikh Zayed Hospital in December, 2001 with palmoplantar skin lesions and oral ulceration of one
more » ... lceration of one month duration. Patient complained of recurrent small, painless ulcers in different parts of oral cavity. These ulcers healed spontaneously over 8-10 days. A year before he developed multiple small painful genital ulcers, unaccompanied by urethral discharge, urinary complains or c�nstitutional symptoms. The ulcers · healed within a week with some medications. He was a known smoker. He was unmarried but had frequent unprotected sexual contact with multiple sexual partners during the last 3 years. Last contact was one month ago. Patient had problems in interpersonal relation and had tendency of deliberate self harm. On physical examination vital signs were normal. Multiple posterior cervical and submandibular lymph nodes were enlarged. These were 0.5-1 cm in size, non-tender, rubbery in consistency and mobile. The overlying skin was normal. Dermatological examination sh9wed bilateral symmetrically distributed, round to oval, painless, coppery red, scaly maculopapular lesions of l-2cm on p_ alms and soles (Fig. I). � white non-tender, non-indurated mucous patch of 0.5cm was present at the root of the frenulum of tongue (Fig.2). Multiple self induced linear scar marks of 4-6cm long were present on the chest. abdomen and arms (Fig.3). Systemic review was unremarkable. Clinically, the mucocutaneous lesions were 94 almost pathognomonic of secondary syphilis. A reactive VDRL (Titre 1 :32) and treponema pallidum haemagglutination assay (TPHA) confirmed the diagnosis. He was treated with long acting penicillin. Follow up after 4 weeks showed marked improvement of skin lesions (Fig.4) and complete disappearance of oral mucous patch.