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Seronegative Secondary Syphilis in 2 Patients Coinfected With Human Immunodeficiency Virus
Adean A. Kingston, MD;
Justin Vujevich, MD;
Michael Shapiro, MD;
Chad M. Hivnor, MD;
Drazen M. Jukic, MD, PhD;
Jacqueline M. Junkins-Hopkins, MD;
Debra M. Jih, MD;
Jay R. Kostman, MD;
William D. James, MD
Arch Dermatol. 2005;141:431-433.
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REPORT OF CASES
CASE 1
A 45-year-old man infected with the human immunodeficiency virus (HIV) presented with a 3-month history of violaceous oval macules and papules on the trunk and extremities (Figure 1) as well as multiple lichenoid papules over the metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints and elbows (Figure 2). Brownish-red scaly patches were observed on the palms. His most recent CD4 cell count was 158 cells/mL, and his viral load was 175 102 copies/mL.
Figure appears in full text version.
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Figure 1. Scaly oval macules and papules of the trunk and upper arm in case 1.
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Figure appears in full text version.
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Figure 2. Multiple lichenoid papules over the metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints in case 1. Also note the brownish-red scaly patches on . . . [Full Text of this Article]
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CASE 2
DIAGNOSTIC CHALLENGE
COMMENT
AUTHOR INFORMATION
From the Department of Dermatology, University of Pittsburgh, Pittsburgh, Pa (Drs Kingston, Vujevich, and Jukic); Department of Dermatology, University of Pennsylvania, Philadelphia (Drs Shapiro, Hivnor, Junkins-Hopkins, Jih, Kostman, and James).
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Latent Syphilis Confirmed by Polymerase Chain Reaction in 2 HIV-Positive Patients With Inconclusive Serologic Test Results
Kuznetsov et al.
Arch Dermatol 2005;141:1169-1170.
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