Patients with nodular secondary syphilis reported 1992–2012
Reference | Patient (Age, gender) | Localization of skin lesions | Affection of palms or soles | Affection of mucosal membranes | Histopathology | Serology | HIV status | Treatment |
---|---|---|---|---|---|---|---|---|
Rosmaninho12 | 64, male | Neck, arms, back | No | No | Histiocytes, plasma cells | VDRL 1:512 TPHA pos | Positive | 3× benzathine penicillin 2.4 M units |
Jang11 | 46, male | Scalp | No | No | Plasma cells, lymphocytes | VDRL 1:128 TPHA pos FTA pos | Negative | 1× benzathine penicillin 2.4 M units |
Brar, Indina J Dermatol Venereol Leprol 2007;73:437 | 28, male | Face, arms chest, back | No | No | Plasma cells, lymphocytes Non-sarcoidal granulomas | VDRL 1:512 TPHA pos | Negative | 3× benzathine penicillin 2.4 M units |
Breznik13 | 52, male | Face, upper trunk, feet | Yes (soles) | No | Plasma cells, lymphocytes, granulomas | VDRL 1:1024 TPHA 1:40960 FTA pos | Negative | 3× benzathine penicillin 2.4 M units |
ul Bari10 | 29, female | Forehad | No | No | Plasma cells | VDRL 1:512 TPHA 1:64 | Negative | 2× benzathine penicillin 2.4 M units |
Dinotta, G Ital Dermatol Venereol 2009;144:725 | 29, male | Scrotum, penis | No | No | N/A | N/A | N/A | Diaminopenicillin |
Battistella19 | 33, male | Face, arms, trunk, feet, genital region | No | No | Plasma cells, lymphocytes | VDRL 1:64 TPHA 1:10260 | N/A | 3× benzathine penicillin 2.4 M units |
Tsai, J Am Acad Dermatol 2007;57:S57 | 49, male | Face, arms trunk | No | No | Plasma cells, lymphocytes, granulomas | Plasma reagin 1:128 TPHA pos | Negative | 2× benzathine penicillin 2.4 M units |
Pandhi, J Eur Acad Dermatol Venereol 2005;19:256 | 35, male | Face, arms trunk, legs | No | No | Plasma cells, giant cells | VDRL 1:128 TPHA pos | Negative | 2× benzathine penicillin 2.4 M units |
Engel18 | 34, female | Face, eyes, arms, trunk, legs | No | No | Plasma cells granulomas, | VDRL 1:512 TPHA 1:163840 | Negative | Penicillin intravenous 10 M units three times a day for 4 weeks |
Dave, Dermatol Online J 2003;9:9 | 22, male | Face, arms, trunk, legs | No | No | Granulomas | VDRL 1:64 TPHA pos | Negative | 1× benzathine penicillin 2.4 M units |
Harden, Arch Dermatol 1997;133:1027 | 39, male | Scalp, face, neck | No | No | Plasma cells | Plasma regain 1:128 TPHA pos | N/A | N/A |
Papini, Br J Dermatol 1998;138:704 | 23, male | Trunk, arms, legs | No | No | Sarcoidal granulomas | VDRL pos TPHA 1:5120 FTA pos | Negative | 3× benzathine penicillin 2.4 M units |
Adriaans, Arch Dermatol 1992;128:978 | 40, male | Arms, legs, penis | No | No | Plasma cells, granulomas | VDRL 1:256 TPHA pos | N/A | N/A |
Glatt, Clin Infect Dis 1996;23:231 | 29, male | Arms, feet | Yes | No | Plasma cells | VDRL 1:64 FTA pos | Positive | 3× benzathine penicillin 2.4 M units, Doxycycline 100 mg twice daily for 1 month |
FTA, fluorescent treponemal antibody; N/A, not available; TPHA, Treponema pallidum haemaglutination assay; VDRL, Venereal Disease Research Laboratory