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Painful anorectal syphilis in men who have sex with men (MSM)
  1. Waseem Rawdah1,
  2. Sean Perera1,
  3. Deborah Williams1,
  4. Daniel Richardson1,2
  1. 1Brighton and Sussex University Hospitals NHS Trust, Brighton, UK
  2. 2Brighton and Sussex Medical School, Brighton, UK
  1. Correspondence to Dr Daniel Richardson, Sexual Health & HIV, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK; docdanielr{at}

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There has been a significant increase in infectious syphilis in men who have sex with men (MSM) which can cause anorectal symptoms including ulceration and proctitis.1 We aimed to describe the presentation and management of MSM with anorectal syphilis using Treponema pallidum PCR (TP-PCR) or serology in MSM attending the sexual health clinic in Brighton, between January 2017 and August 2020.

In the study period, 128 MSM were diagnosed with primary syphilis, 108 (84%) with …

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  • Contributors DR designed the study, All authors contributed to data collection, data analysis and the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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