Annular lichenoid syphilis: A rare entity

Abstract

Syphilis is a disease known for centuries, but still continues to be a diagnostic challenge as the myriad manifestations of secondary syphilis can mimic a lot many dermatological disorders. Lichenoid syphilis is an uncommon entity, reported only occasionally in the penicillin era. We present the case of a 32-year-old woman presenting with localized annular lichenoid lesions on the neck.

Lichenoid secondary syphilis as immune reconstitution inflammatory syndrome with mixed etiology genital ulcer in a human immunodeficiency virus-positive patient

“…The previously reported cases had one or few lichenoid lesions[ 2 4 5 6 7 8 ] vis-à-vis our case in which there was a generalized involvement. This can be attributed to the HIV-related immunosuppression, the high titers of VDRL (1:1024), and the immune reconstitution after ART initiation in our patient.…”