RESUMO
We describe a 17-year-old man who developed penile annular and scrotal eczematoid syphilids with penile chancre redux. Dermoscopy showed linear-irregular and hairpin vessels with white scales in annular lesions. Histopathology displayed psoriasiform hyperplasia with perivascular lymphoplasmacytic dermal infiltrate. Rapid plasma reagin and Treponema pallidumparticle agglutination assays were positive. The lesions disappeared after intramuscular benzathine penicillin.
Assuntos
Cancro/patologia , Sífilis Cutânea/patologia , Adolescente , Antibacterianos/uso terapêutico , Cancro/diagnóstico por imagem , Cancro/tratamento farmacológico , Dermoscopia , Humanos , Masculino , Penicilina G Benzatina/uso terapêutico , Pênis/diagnóstico por imagem , Pênis/patologia , Escroto/diagnóstico por imagem , Escroto/patologia , Sífilis Cutânea/diagnóstico por imagem , Sífilis Cutânea/tratamento farmacológico , Resultado do TratamentoRESUMO
We report the case of a 35-year-old homosexual man with previous history of HIV, with primary chacre in the rectum. We believe this paper is significant because the diagnosis of rectal ulcer is more common in recent years, however rectal syphilis is a poorly recognized entity, especially with primary chancre formation.