Acute Syphilitic Balanitis and Gross Penile Edema in an HIV-Infected Man
Authors
Dorota Z. Korta1, Jesse M. Lewin2, Rishi R. Patel2 and Miguel Sanchez2 1New York University School of Medicine, New York, NY 10016, USA; 2The Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York, NY 10016, USA
Syphilis presenting with balanitis and penile edema is rare, and in most cases has been considered to be a manifestation of primary syphilis. We report the case of an HIV-infected man who presented with penile edema and balanitis concomitant with an eruption on his buttocks, lower abdomen and thighs. Histologic examination and serology were diagnostic of syphilis, and the patient was successfully treated with benzathine-penicillin. Our case represents an unusual, infrequently reported presentation of secondary syphilis.
