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KMID : 0361020090520100849
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Korean Journal of Otolaryngology - Head and Neck Surgery
2009 Volume.52 No. 10 p.849 ~ p.851
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An Unusual Case of Luetic Lymphadenitis as a Solitary Submandibular Mass
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Park See-Young
Jung Bum-Jo
Ko Young-Seung
Sung Chang-Ho
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Abstract
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Syphilis, a chronic systemic infection caused by Treponema pallidum, is usually sexually transmitted and characterized by episodes of active disease interrupted by a latent period. After an incubation period of averaging 2-6 weeks, a primary syphilis with a firm, non-tender chancre appears, often associated with regional lymphadenopathy. Secondary syphilis shows localized or diffuse mucocutaneous lesions and generalized non-tender lymphadenopathy. In about onethird of untreated cases, the tertiary stage appears, characterized by progressive destructive mucocutaneous, musculoskeletal or parenchymal lesions, aortitis or symptomatic central nervous system diseases. Without serological testing, the precise diagnosis is very difficult. In fact, it has often been called the great imitator because it was often confused with other disease. We report a very unusual case of luetic lymphadenitis presented as a solitary submandibular mass.
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KEYWORD
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Syphilis, Luetic lymphadenitis, Neck
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