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Research letter
UK Sexual health clinics may be missing atypical syphilis
  1. Bethany Harrison1,
  2. Rajul Patel2,3,
  3. Emily Clarke4
  4. on behalf of BASHH Herpes Special Interest Group
  1. 1School of Medicine, University of Liverpool, Liverpool, UK
  2. 2Department of Sexual Health, Solent NHS Trust, Southampton, UK
  3. 3Faculty of Medicine, University of Southampton, Southampton, UK
  4. 4Department of Sexual Health, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK
  1. Correspondence to Dr Emily Clarke, Department of Sexual Health, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool L7 8XP, UK; emilyrclarke{at}doctors.org.uk

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The ‘atypical’ presentation of primary syphilis with multiple tender chancres has long been recognised.1 The significant increase in the prevalence of early infectious syphilis in England, especially in men who have sex with men, has resulted in the development of a national action plan.2 The aim of this UK-wide service evaluation was to determine whether clinics undertaking herpes simplex virus (HSV) swabs also have access …

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