1/5. hepatitis and glomerulonephritis in secondary syphilis.In early secondary syphilis, predominant features of spirochetal infection may include hepatitis and glomerulonephritis. We report a 27-year-old woman with characteristic physical, laboratory, and microscopic findings of syphilitic hepatitis and glomerulonephritis; she responded to penicillin therapy and recovered completely. The importance of clinically and pathologically recognizing this treatable disease is emphasized.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
2/5. The asymptomatic patient with a positive VDRL test.Although VDRL and RPR tests are excellent screens for syphilis, false-positive reactions do occur. A positive VDRL or RPR test must be confirmed with an FTA-ABS test. patients with positive serologic tests should have a thorough physical examination to determine the stage of syphilis. A patient with a low-titer VDRL or RPR may have active disease and may require lumbar puncture to rule out neurosyphilis.- - - - - - - - - - ranking = 17.798452687959keywords = physical examination, physical (Clic here for more details about this article) |
3/5. Painful red leg nodules and syphilis: a consideration in patients with erythema nodosum-like illness.An adolescent girl presented with the classical physical findings of painful red nodules on the legs; the lesions were suggestive of erythema nodosum. The usual underlying causes were explored and found to be absent. Because she was sexually active, the patient was also routinely screened for sexually transmitted diseases. A rapid plasma reagin test was performed and found to be strongly positive. The confirmatory fluorescent treponemal antibody test was also positive. A diagnosis of syphilis was made, and she was treated with benzathine penicillin g (2.4 X 10(6) units). This report is a reminder that when a patient is suspected of having erythema nodosum, the physician should check for syphilis as well as for tuberculosis, sarcoidosis, reaction to a drug, and streptococcal disease. panniculitis can be an important clinical sign of secondary syphilis that should never be overlooked.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |
4/5. Syphilitic osteitis in a patient with secondary syphilis and concurrent human immunodeficiency virus infection.Destructive bone disease is a well-recognized complication of congenital and tertiary syphilis. Clinically significant osteitis and osteomyelitis are rare complications of primary or secondary syphilis in patients who are not infected with human immunodeficiency virus (hiv). We report a case of an hiv-infected man who presented with symptomatic, left ulnar osteitis as the initial manifestation of secondary syphilis. The patient's clinical course was complicated by a pathological fracture, but he responded to high-dose intravenous penicillin g therapy and surgical intervention. Results of physical examination on follow-up at 15 months were normal, and a serofast (rapid plasma reagin [RPR]) titer of 1:4 and a markedly decreased uptake on bone scintigraphy were observed. Our case report suggests that bone disease can represent an atypical manifestation of early acquired syphilis and that hiv-positive patients who present with orthopedic complaints or bone lesions should be evaluated for the presence of syphilitic bone disease.- - - - - - - - - - ranking = 17.798452687959keywords = physical examination, physical (Clic here for more details about this article) |
5/5. Gastric syphilis.A sexually transmitted disease is seldom considered in the differential diagnosis of patients with clinical gastritis. A patient with gastric syphilis is reported to alert emergency department physicians to this entity. history and physical findings of syphilis should be sought and rapid plasma reagin tests should be obtained in the patient with severe or refractory gastritis.- - - - - - - - - - ranking = 1keywords = physical (Clic here for more details about this article) |