Revathi T N, Bhat Shilpa, Asha G S
Dept of Skin and STD, Victoria Hospital, Bangalore Medical College and Research Institute, Bengaluru, India.
Dermatol Online J. 2011 Feb 15;17(2):5.
Late cutaneous syphilis has become a rarity as a result of the effective treatment of early and latent syphilis with antibiotics. We report a heterosexual male who presented with multiple large annular plaques of two years duration. Skin biopsy revealed endarteritis and non-caseating granulomas in the dermis along with plasma cells. VDRL and TPHA were reactive. ELISA for HIV-1 antibodies was reactive. This is the first report of nodular tertiary syphilis as the presenting manifestation of HIV.
由于抗生素对早期和潜伏梅毒的有效治疗，晚期皮肤梅毒已变得罕见。我们报告一名异性恋男性，其出现持续两年的多个大的环状斑块。皮肤活检显示真皮内有动脉内膜炎、非干酪样肉芽肿以及浆细胞。性病研究实验室试验（VDRL）和梅毒螺旋体血凝试验（TPHA）呈阳性反应。HIV-1抗体酶联免疫吸附测定（ELISA）呈阳性反应。这是首例以结节性三期梅毒作为HIV表现形式的报告。
