Papulonecrotic eruption in a 44-year-old-man |
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Authors: | Jacobson Michael A Pollack Ross B Maize John C |
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Affiliation: | Department of Dermatology, Medical University of South Carolina, Charleston, South Carolina, USA. jacobsom@musc.edu |
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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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