Photogallery. Combination of syphilis and HIV infection

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In recent decades, the world has seen an increase in the number of patients suffering from syphilis and HIV infection at the same time. There is a traditional opinion that concomitant HIV infection can aggravate the clinical manifestations and course of syphilis. However, in the era of widespread use of antiretroviral therapy, most people living with HIV have a typical course of syphilis. However, with quantitative and/or qualitative HIV-associated immune dysfunction, deviations in the clinical picture of syphilitic infection from its classical patterns are possible. This is evidenced by annual publications in Russian and foreign specialized publications.

We present to your attention a photo gallery of cases of syphilis in HIV-positive patients with characteristic and atypical manifestations.

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作者简介

Sergey Prozherin

Sverdlovsk Regional Center for Prevention and Control of AIDS

编辑信件的主要联系方式.
Email: rjdv@eco-vector.com
俄罗斯联邦, Ekaterinburg

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2. Fig. 1. Patient R., 31 years old. Primary syphilis of the genital organs. Erosive chancre on the head of the penis.

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3. Fig. 2. Patient M., 28 years old. Primary syphilis of the genital organs. Erosive hard chancre on the inner layer of the foreskin and on the head of the penis.

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4. Fig. 3. Patient S., 25 years old. Secondary syphilis. Multiple pink roseola rashes on the torso and pubic skin.

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5. Fig. 4. Patient D., 32 years old. Secondary syphilis. Copious pale pink roseola rash on the trunk.

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6. Fig. 5. Patient P., 37 years old. Secondary syphilis. Numerous spotted elements of rich pink color with a brownish tint.

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7. Fig. 6. Patient F., 33 years old. Secondary syphilis. Roseolouspapular rash on the torso.

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8. Fig. 7. The same patient. Papular syphilide on the glans penis.

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9. Fig. 8. Patient V., 25 years old. Secondary syphilis. Papular rash on the face.

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10. Fig. 9. Patient B., 48 years old. Secondary syphilis. Pink-red single papules on the skin of the forehead.

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11. Fig. 10. The same patient. Condylomas lata of the perianal area extending to the skin of the buttocks.

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12. Fig. 11. Patient G., 29 years old. Secondary syphilis. Papular elements on the soles.

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13. Fig. 12. The same patient. Papular syphilide on the palms.

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14. Fig. 13. Patient S., 31 years old. Secondary syphilis. Diffuse syphilitic alopecia. Roseola on the scalp.

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15. Fig. 14. Patient D., 29 years old. Secondary syphilis. Papules on the lower extremities, resembling lesions of Kaposi's sarcoma.

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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