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Syphilis outbreak in Milan, Italy
  1. M Cusini1,
  2. M Ghislanzoni1,
  3. C Bernardi1,
  4. G Carminati1,
  5. R Zerboni1,
  6. E Alessi1,
  7. B Suligoi2
  1. 1Centro MTS, Istituto di Scienze Dermatologiche, IRCCS Ospedale Maggiore, Milano, Italy
  2. 2Istituto Superiore di Sanità, Roma, Italy
  1. Correspondence to:
 Dr Marco Cusini
 Centro MTS, Istituto di Scienze Dermatologiche, Via Pace 9, 20122 Milano, Italy;

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Infectious syphilis has been considered a sensitive marker of risky sexual behaviour.1 Following a decline of syphilis in Western Europe,2,3 there has been a resurgence of infectious syphilis in many countries, with a number of outbreaks in men who have sex with men (MSM).4,5

The STD …

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