Arthropod bite-like eruption as rare presentation of secondary syphilis in an HIV-infected patient

Arthropod bite-like eruption as rare presentation of secondary syphilis in an HIV-infected patient

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Secondary syphilis represents a diagnostic challenge ashy bines protein powder due to its varied clinical manifestations.Co-infection with human immunodeficiency virus (HIV) adds to the diversity of the clinical presentation of syphilis.We herein report a case of secondary syphilis as an arthropod bite-like eruption in a previously undiagnosed HIV-coinfected patient.A 24-year-old homosexual male presented with multiple corticosteroid-resistant insect bite-like nodules on his trunk and bilateral arms.

Skin biopsy disclosed plasma cell infiltration and positive Treponema pallidum staining.His symptoms got dramatic remission after benzathine penicillin G therapy.The presented case extends the clinical spectrum of secondary syphilis berkley power worm 100 pack in HIV patient.