Atypical presentations of primary genital syphilis in HIV-negative homosexually active men: a case series

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Abstract

We report four cases of primary syphilis of the penis in HIV-negative men having unprotected insertive oral sexual intercourse with men. Patients presented with atypical penile lesions mimicking genital herpes, balanitis, lichen planus and fi xed drug eruption. Syphilis should be considered in the differential diagnosis of other genital diseases, both sexually or non-sexually transmitted. Considering the increasing incidence of atypical manifestations of syphilis, serological tests for syphilis should also be performed more often.

Sažetak

Serija prikaza: Prikazujemo četiri HIV-negativna pacijenta sa primarnim genitalnim sifi lisom koji su infekciju dobili nakon nezaštićenog insertivnog oralnog seksa sa nepoznatim muškim osobama. Lezije na penisu su imale atipičnu prezentaciju i podsećale na herpes genitalis, balanitis, lichen planus i erytema fi xum.

Diskusija: O sifi lisu bi trebalo razmišljati u diferencijalnoj dijagnozi kako polnih bolesti, tako i drugih dermatoza genitalne regije.

Zaključak: S obzirom na sve češće atipično ispoljavanje sifi lisa, potrebno je češće uraditi i serološke reakcije na sifi lis.

References
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Serbian Journal of Dermatology and Venereology

The Journal of Serbian Association of Dermatovenereologists (SAD)

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