Korean J Dermatol.  1997 Aug;35(4):778-780.

A Case of Solitary Nodular Syphilid

Affiliations
  • 1Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

Nodular lesions, especially a solitary nodule, is a rare manifestation in secondary syphilis and a few cases have been described recently. The nodular syphilid needs to be differentiated from lymphoma and a granulomatous process. In a patient previously treated for malignancy, this nodular lesion could also be clinically misdiagnosed as cutaneous metastasis. We, herein, report a case of an unusual solitary noduiar syphilid mimicking cutaneous metastasis. A 57-year-old woman patient presented with a month history of an asymptomatic erythematous telangiectatic nodul on the nose tip. She was treated for malignant melanoma on the buttock 2 years previausly. The preliminary differential diagnosis included cutaneous metastasis and a granulomatous process, but a solitary nodular syphilid was confirmed through skin biopsies and serologic tests.

Keyword

Cutaneous metastasis; Solitary nodular syphilid

MeSH Terms

Biopsy
Buttocks
Diagnosis, Differential
Female
Humans
Lymphoma
Melanoma
Middle Aged
Neoplasm Metastasis
Nose
Serologic Tests
Skin
Syphilis
Syphilis, Cutaneous*
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