Bittencourt Maraya de Jesus Semblano, Brito Arival Cardoso de, Nascimento Bianca Angelina Macêdo do, Carvalho Alessandra Haber, Nascimento Manoel Dias do
Universidade Federal do Pará, Belém, PA, BR.
An Bras Dermatol. 2015 May-Jun;90(3 Suppl 1):216-9. doi: 10.1590/abd1806-4841.20153399.
Due to diverse clinical and histopathological presentations, diagnosis of secondary syphilis can occasionally prove challenging. Variable clinical presentations of secondary syphilis in HIV disease may result in an incorrect diagnosis and an inappropriate treatment regimen. Similarly, the histology of secondary syphilitic lesions may show considerable variation, depending on the clinical morphology of the eruption. We report a case of secondary syphilis in an HIV infected patient with cutaneous palmoplantar lesions simulating palmoplantar psoriasis.
由于临床和组织病理学表现多样,二期梅毒的诊断有时颇具挑战性。HIV疾病中二期梅毒的临床表现各异,可能导致诊断错误及治疗方案不当。同样,二期梅毒皮损的组织学表现也可能因皮疹的临床形态而有显著差异。我们报告一例HIV感染患者发生二期梅毒,其掌跖部皮肤损害酷似掌跖银屑病。