Eyer-Silva Walter de Araujo, Souza Viviane Primo Basílio de, Silva Guilherme Almeida Rosa da, Brasil Fernando Vieira, Portela Alessandra Dos Santos, Carvalho Ricardo de Souza, Neves-Motta Rogerio, Martins Carlos José
Universidade Federal do Estado do Rio de Janeiro, Hospital Universitário Gaffrée e Guinle, Centro de Ciências Biológicas e da Saúde, Rio de Janeiro, Rio de Janeiro, Brazil.
Rev Inst Med Trop Sao Paulo. 2018 Aug 20;60:e40. doi: 10.1590/S1678-9946201860040.
It is essential that healthcare providers are familiar with the full spectrum of clinical presentations of syphilis. A rare manifestation of secondary syphilis is the corymbiform (or corymbose) arrangement, in which a central greater papule is surrounded by smaller satellite lesions. Very few reports of corymbiform syphilis are available in current biomedical databases. We present the case of a 28 year-old HIV-infected male patient on regular, successful antiretroviral therapy who developed an asymptomatic corymbiform maculopapular lesion in the medial aspect of the right thigh. There were also a few brownish macular lesions on the left sole. New serological tests for syphilis (which had been negative in the past) were reactive. The coymbiform lesion slowly regressed and the non-treponemal test reverted to negative after benzathine penicillin G treatment. A review of the literature is provided. This is the first report of corymbiform syphilis in an HIV-infected patient.
医疗保健提供者必须熟悉梅毒的全谱临床表现。二期梅毒的一种罕见表现是伞房状（或伞房样）排列，即中央有一个较大的丘疹，周围环绕着较小的卫星状损害。目前的生物医学数据库中关于伞房状梅毒的报道极少。我们报告一例28岁感染HIV的男性患者，该患者正在接受规律且成功的抗逆转录病毒治疗，其右大腿内侧出现了一个无症状的伞房状斑丘疹损害。左足底也有一些褐色斑疹。新的梅毒血清学检测（过去为阴性）呈阳性反应。经苄星青霉素G治疗后，伞房状损害逐渐消退，非梅毒螺旋体试验转为阴性。本文提供了文献综述。这是首例关于感染HIV患者出现伞房状梅毒的报告。
