Subject(s)
Bartonella Infections/diagnostic imaging , Bartonella Infections/pathology , Skin Diseases, Bacterial/diagnostic imaging , Skin Diseases, Bacterial/pathology , Bartonella Infections/complications , Dermoscopy , Female , Hoarseness/microbiology , Humans , Middle Aged , Mouth Diseases/microbiology , Nose Diseases/microbiology , Skin Diseases, Bacterial/microbiologyABSTRACT
Se presenta el caso de un paciente anciano que acude por una placa marrón en la palma de una mano asintomática. Se comprometen posteriormente la otra palma y las plantas de ambos pies. Presenta serología treponémica positiva, dermatitis en banda con infiltrado inflamatoria a predominio de células plasmáticas, tinción argéntica sugerente y respuesta terapéutica por lo que se concluye que se trataba de un cuadro de sífilis secundaria simulando una tina negra.
We present the case of an old man who seeks medical care because a brown patch in a hand palm without symptoms. A couple of weeks after that both soles and the other hand has been compromised too. We get a positive luetic serology, band dermatitis with great amount of plasma cells, suggestive silver dye, and therapeutic response. We conclude that the case was a luetic secondarily mimic black tinea.