TY  - CHAP
M1  - Book, Section
TI  - Chapter 216. Syphilis
A1  - Usatine, Richard P.
A1  - Smith, Mindy A.
A1  - Chumley, Heidi S.
A1  - Mayeaux, E.J.
PY  - 2013
T2  - The Color Atlas of Family Medicine, 2e
AB  - A  39-year-old  woman  presents  with  a  nonhealing  ulcer  over  her  upper  lip  for  1  week  and  a  new-onset  rash  on  her  trunk  (Figures  216-1  and  216-2).  The  ulcer  on  her  upper  lip  was  misdiagnosed  as  herpes  simplex  by  the  previous  physician.  Sexual  history  revealed  that  the  patient  had  oral  sex  with  a  boyfriend  who  had  a  lesion  on  his  penis  and  she  suspected  that  he  had  been  having  sex  with  other  women.  The  examining  physician  recognized  the  nonpainful  ulcer  and  rash  as  a  combination  of  primary  and  secondary  (P&S)  syphilis.  An  RPR  (rapid  plasma  reagin)  was  drawn  and  the  patient  was  treated  immediately  with  IM  benzathine  penicillin.  The  RPR  came  back  as  1:128  and  the  ulcer  was  healed  within  1  week.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/18
UR  - accessmedicine.mhmedical.com/content.aspx?aid=57684873
ER  -