Syphilis maligna A51.41

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Foudroyante form of syphilis acquisita II with weakened immune system.

Clinical features
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  • A primary effect may be missing. Usually a small regional bubo is present.
  • In the secondary stage: few, rapidly growing, centrally ulcerating papules. Bowl-shaped ulcers with soft edges covered by oyster shell-like bark ( Rupia syphilitica). Pseudomembranous ulcers of the oral mucosa, diphtheroidal ulcerations of the tonsils, mutilations of the uvula, soft palate and vulva are possible. Missing polyscleradenitis syphilitica. Impairment of the general condition with fever, loss of appetite, paleness, tiredness.

Laboratory
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Treponema pallidum is usually not detectable. Syphilisserology can become reactive with a delay.

Progression/forecast
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Awkward.

Incoming links (2)

Ekthyma; Rupia syphilitica;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020