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Bone pain as the presenting manifestation of secondary syphilis.
Authors:S Middleton   C Rowntree     S Rudge
Affiliation:Department of Rheumatology, London Hospital.
Abstract:A 31 year old fireman presented with acute pain and tenderness in both shins and forearms. Radiographs were normal but bone scintigraphy showed widespread increased isotope uptake. Serology was consistent with a diagnosis of secondary syphilis, and the patient's symptoms resolved completely six weeks after a course of penicillin.
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