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  • Title: Grouped follicular secondary syphilis: Case report and review of literature.
    Author: Saal RC, Borda LJ, Pariser RJ.
    Journal: Australas J Dermatol; 2023 May; 64(2):e168-e170. PubMed ID: 36762886.
    Abstract:
    Secondary syphilis typically presents with macular, maculopapular or papular lesions, sometimes with systemic symptoms; however, there are some less common cutaneous presentations which can result in several differential diagnoses. We report the case of a 25-year-old man with the recent onset of a symmetric eruption of grouped follicular papules, for which syphilis was not originally considered. Histopathology revealed non-caseating granulomas with a lichenoid infiltrate. Subsequent spirochete immunostaining was positive, and further physical examination revealed moth-eaten alopecia, confirming the diagnosis of secondary syphilis.
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