Usefulness of polymerase chain reaction analysis in a case of clinically and histologically atypical nodular granulomatous secondary syphilis

Author:

Falcinelli Francesca1ORCID,Trovato Emanuele1,Baldino Gennaro2,Miracco Clelia3,Rubegni Pietro1,De Piano Ernesto1

Affiliation:

1. Dermatology Unit, Department of Medical, Surgical and Neurosciences, University of Siena, Siena, Italy

2. Section Legal Medicine, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy

3. Section of Pathology, Department of Medical Biotechnology, University of Siena, Siena, Italy

Abstract

We report a case of a nodular granulomatous secondary syphilis histologically resembling tuberculids in a patient with positive quantiferon test and serology for syphilis. Polymerase chain reaction (PCR) analysis led to the diagnosis. We underline the usefulness of PCR in clinically and histologically doubtful cases in order to avoid misdiagnosis and delay treatment.

Publisher

SAGE Publications

Subject

Infectious Diseases,Pharmacology (medical),Public Health, Environmental and Occupational Health,Dermatology

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