Primary Syphilis with Initial Lower-lip Sclerosis-A Case Report

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  • Omura Go
    Department of Head and Neck Surgery, Saitama Medical University International Medical Center
  • Fukuoka Osamu
    Department of Otolaryngology, Tokyo Postal Services Agency Hospital
  • Suzuki Masami
    Department of Head and Neck Surgery, Gunma Prefectural Cancer Center

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Other Title
  • 下口唇に初期硬結を来した第1期梅毒の1例
  • カ コウシン ニ ショキコウケツ オ キタシタ ダイ1キ バイドク ノ 1レイ

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Description

We report a case of primary syphilis with initial lower-lip sclerosis. 54-year-old man seen for a left lower-lip lesion was found in serological testing to have elevated syphilis-rapid plasma regain (STS-RPR) and treponema pallidum lipid antigen (TPLA), diagnosed as primary syphilis. Following four weeks of 1500 mg/day amoxicillin administration, the lesion had almost disappeared. Serological data had improved to within the negative range six months after antibiotic treatment started. This case underscores the need to recognize syphilis of the lip even in the outpatient setting.

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