A Crusted Plaque on the Right Nipple

Chiu, Hsien-Yi; Tsai, Tsen‐Fang

doi:10.1001/jama.2012.7538

Cited by 14 publications

(20 citation statements)

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“…2 In addition, nipple syphilitic chancres have been reported after biting by others during sexual intercourse. 3,4 We report a rare case of acquired primary oral syphilis (OS) chancre after kissing with her partner, who was infected with syphilis earlier. As far as we know, this is the first report on infection of primary OS after kissing another syphilis person.…”

Section: Discussionmentioning

confidence: 99%

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Syphilitic Chancre of the Lips Transmitted by Kissing

Zheng

2016

Medicine

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Primary syphilic chancre most often involved genitalia, with 12% to 14% extragenital lesions. This article describes a rare case of a female patient with labial ulcer and diagnosed as oral syphilis (OS), an uncommon presentation of primary syphilis. OS is transmitted through orogenital contact.This study is case report and literature review.We report a 27-year-old woman with painless, ulcerative, and indurated lesion on her lower lip and a 7-day history of symmetrically distributed nonpruritic macules. OS was diagnosed based on clinical presentations and serologic test and patient's oral ulcer was cured with intramuscular penicillin G benzathine. However, both the patient and her husband denied any orogenital sexual history before. In addition, her husband was also diagnosed as syphilis later in our clinic. He reported having orogenital contact with other people.Therefore, this is a rare case of OS transmitted through kissing.

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Section: Discussionmentioning

confidence: 99%

“…2 In addition, nipple syphilitic chancres have also been reported after biting by others during sexual intercourse. 3,4 …”

Section: Introductionmentioning

confidence: 99%

Syphilitic Chancre of the Lips Transmitted by Kissing

Zheng

2016

Medicine

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“…The first cases were reported in 2006 by Lee et al , who described two patients with nipple lesions manifest as solitary unilateral nodules . Since then, only five additional cases have been reported in the English language literature …”

Section: Patients With Primary Syphilis Involving the Nipplementioning

confidence: 99%

“…In recent years, a few reports describing cases of primary syphilis involving the nipple have been published (Table ). All of them occurred in males, and in many of them the lesions appeared shortly after the nipple was bitten during sexual intercourse with a prostitute or oral contact with an infected person . Lesions were described as unilateral nodules, ulcers, erosive and erythematous plaques or crusted patches .…”

Section: Patients With Primary Syphilis Involving the Nipplementioning

confidence: 99%

“…All of them occurred in males, and in many of them the lesions appeared shortly after the nipple was bitten during sexual intercourse with a prostitute or oral contact with an infected person . Lesions were described as unilateral nodules, ulcers, erosive and erythematous plaques or crusted patches . One patient presented with bilateral involvement of the nipples with eczematoid‐like lesions, while another had an overlap between primary and secondary syphilis at the same time …”

Section: Patients With Primary Syphilis Involving the Nipplementioning

confidence: 99%

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