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#1
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07-11-2014, 08:02 PM
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 ✖ The Antique Christ ✖ Poster Rank:105 Gonzo Punk Join Date: Jan 2009 Posts: 15,488
Contributions: 58
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Secondary Syphilis on Hands and Feet
A 33-year-old man presented to our emergency department (ED) with a 1-week history of a painless, nonpruritic rash to his palms (Figure 1) and the soles of his feet (Figure 2). He had no fever, chills, oral lesions, or weight changes. Three weeks before, he had what he thought was an ingrown hair on the shaft of his penis, for which he did not seek medical attention. He was sexually active in a heterosexual relationship that he thought was monogamous. He had no recent history of leaving the metropolitan area and had no recollection of a tick bite.  Palmar rash.  Plantar rash. Diagnosis Secondary syphilis About a third of untreated individuals with primary syphilis will develop secondary syphilis. This usually occurs at about 2 to 8 weeks after the appearance of the original chancre. In this patient, a rapid plasma reagin was positive in a titer of 1:128. He received benzathine-penicillin 2.4 million units intramuscularly in the ED. Although the rate of primary and secondary syphilis in the United States decreased 89.7% between 1990 and 2000, the rate of primary and secondary syphilis increased from 2001 to 2005. The rate of primary and secondary syphilis in the United States in 2005 (3.0 cases per 100,000 population) was 11.1% higher than the rate in 2004 (2.7 cases per 100,000 population). |
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#3
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07-11-2014, 10:29 PM
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 ☆☆☆Jumbo Lesbian Cunt☆☆☆ Poster Rank:56 My pronouns are thin/skinny Join Date: Nov 2012 Posts: 25,930
Contributions: 1
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Re: Secondary Syphilis on Hands and Feet
Yikes. Thank goodness for penicillin; at least the guy sought care before he developed tertiary gummas or something.  |
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#4
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07-12-2014, 12:00 AM
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 My Rank: STAFF SERGEANT Poster Rank:789 male Join Date: Mar 2010 Posts: 992 Mentioned: 0 Post(s) Quoted: 222 Post(s)
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Re: Secondary Syphilis on Hands and Feet
meh....gummas are the most uncommon type of tertiary syphilis. i'd be more concerned about CNS or cardio effects of tertiary syphilis
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#6
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07-12-2014, 05:51 AM
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 My Rank: FIRST SERGEANT Poster Rank:405 Male Join Date: Nov 2009 Posts: 2,966 Mentioned: 18 Post(s) Quoted: 448 Post(s)
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Re: Secondary Syphilis on Hands and Feet
I must say.. If I ever get Syphilis? I hope to get the secondary as the reminder..  A simple canker sore on the cock? pfft..just shrug that off like this poor bastard did.. At least this WILL get my attention... |
