Leukocytoclastic vasculitis: another condition that mimics syphilis

作者：Furlan Fabricio Cecanho^*; Vieira de Oliveira Aline Pamela; Naomi Yoshioka Marcia Cristina; Simoes e Silva Enokihara Milvia Maria; Michalany Nilceo Schwery; Porro Adriana Maria

来源：Anais Brasileiros de Dermatologia, 2010, 85(5): 676-679.

DOI：10.1590/S0365-05962010000500011

• Histology
• Syphilis
• Syphilis serodiagnosis
• HIV
• Vasculitis

Syphilis, a disease that in the past was associated with significant morbidity and lethality rates, has resurged in recent years principally as a consequence of changes in risk behavior. An epidemiological group that is commonly affected is the HIV-infected population. The characteristics of the disease and its progression may differ in these patients. The present report describes a case of an HIV-positive male patient, who developed florid secondary syphilis: in addition to syphilitic roseola, he also presented with bilateral panuveitis and involvement of the central nervous system. Investigation revealed the prozone phenomenon and histological examination of the skin lesions showed the presence of leukocytoclastic vasculitis. This finding is extremely rare and few cases have been documented.

• 出版日期2010-10