2011, Number 2
Rev Med MD 2011; 2.3 (2)
Mercado–Núñez E, González-Landeros M
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ABSTRACT47 year old male diagnosed with HIV since 2002, currently stage AIDS C2 with a medical history of lymph node tuberculosis and positive serologies for type B and C hepatitis and negative for VDRL (Venereal Disease Research Laboratory) in 2007. In 2009 the patient presents a tongue mass with an ulcerated necrotic center, but without purulent material. A biopsy is performed and histopathology reports NHL, for which chemotherapy is started. No improvement is shown in regards of the tongue mass a month after the first cycle of chemotherapy, furthermore patient shows a generalized dermatosis conformed by indurated erythematous papules which lead to the diagnostic suspicion of secondary syphilis. Serologies are requested and diagnosis of syphilis is obtained. Patient shows radicalimprovementto treatment. In the last two decades few case reports have described atypical presentations of secondary syphilis initially behaving as malignant lymphoproliferative disorders. This pattern has been described in patients with or without HIV.