Tertiary syphilis of the face.

Chung, G; Kantor, G R; Whipple, S · J Am Acad Dermatol · 1991

case_report · Level V

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Abstract

We report a case of noduloulcerative tertiary syphilis that had gone misdiagnosed as discoid lupus erythematosus for many years. This case is noteworthy for (1) a Jarisch-Herxheimer-like reaction, (2) a dramatic response to penicillin therapy despite the presence of long-standing disease, and (3) posttreatment granulomas of possible hypersensitivity origin.

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