PT  - JOURNAL ARTICLE
AU  - Courtney L Hanlon
AU  - Artin Galoosian
AU  - Saima Ali
AU  - Randall S Edson
TI  - Painful rash with hoarseness: an atypical presentation of syphilis
AID  - 10.1136/bcr-2018-226892
DP  - 2018 Nov 01
TA  - BMJ Case Reports
PG  - e226892
VI  - 11
IP  - 1
4099  - http://casereports.bmj.com/content/11/1/e226892.short
4100  - http://casereports.bmj.com/content/11/1/e226892.full
SO  - BMJ Case Reports2018 Nov 01; 11
AB  - Syphilis is a sexually transmitted disease that can affect multiple organ systems, with central nervous system involvement at any stage. We present a 53-year-old woman with an unusual truncal rash with painful anogenital lesions, accompanied by patchy alopecia, oral lesions, photophobia and hoarseness. She was found to have positive serological tests for syphilis with cerebrospinal fluid findings suggestive of neurosyphilis. She underwent a 14-day course of intravenous penicillin G and exhibited successful resolution of painful anogenital lesions as well as marked improvement in dermatological, oropharyngeal, laryngeal, and neurological symptoms.