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Papulonecrotic eruption in a 44-year-old-man
Authors:Jacobson Michael A  Pollack Ross B  Maize John C
Affiliation:Department of Dermatology, Medical University of South Carolina, Charleston, South Carolina, USA. jacobsom@musc.edu
Abstract:A patient is described who presented with the acute onset of widely distributed necrotic papules mimicking pityriasis lichenoides et varioliformis acuta. A skin biopsy revealed granulomatous inflammation and spirochetes were demonstrated. Serologic testing confirmed infection with the Treponema pallidum. Syphilis is still a great imitator and its persistence as an infectious disease is reviewed.
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