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KMID : 1149120180150020051
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Journal of the Korean Society for Psoriasis
2018 Volume.15 No. 2 p.51 ~ p.54
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A case of aggravated psoriasis coexisting with latent syphilis
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Park Hee-Jae
Oh Jae-Hong
Park Hai-Jin
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Abstract
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Syphilis is a sexually transmitted chronic infectious disease caused by Treponema pallidum. Among the stages of syphilis, secondary syphilis has a myriad of clinical presentations mimicking various types of psoriasis. Reactivation of latent syphilis in psoriasis patients using systemic agent has been reported. Therefore, it is essential to differentiate it from the deterioration of psoriasis. A 34-year-old man who had 15-year history of psoriasis presented with worsening of psoriatic lesions. The initial flare up of the skin lesions and itching sensation started a month ago. The skin biopsy showed the findings of psoriasis only, but RPR and FTA-ABS IgM test were positive. He was diagnosed as psoriasis with latent syphilis. As the incidence of syphilis is increasing, especially in the age of 20-30s, screening of syphilis should be performed routinely before introducing immunosuppressive agents or biologics to rule out and prevent reactivation of syphilis in sexually active age group.
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KEYWORD
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Psoriasis, Syphilis
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