PT  - JOURNAL ARTICLE
AU  - Neesha Rockwood
AU  - Nneka Nwokolo
TI  - Syphilis the great pretender: when is cancer not cancer?
AID  - 10.1136/sextrans-2017-053508
DP  - 2018 Mar 08
TA  - Sexually Transmitted Infections
PG  - sextrans-2017-053508
4099  - http://sti.bmj.com/content/early/2018/03/08/sextrans-2017-053508.short
4100  - http://sti.bmj.com/content/early/2018/03/08/sextrans-2017-053508.full
AB  - The number of cases of syphilis continues to rise in the UK, USA and elsewhere and may present to a variety of clinical specialties. We report a complex case of early acquired disseminated syphilis causing an ulceronodular rash (lues maligna), orchitis, osteitis and lung nodules in an immunocompetent man who has sex with men who presented to the genitourinary medicine clinic. Syphilis should be considered in the differential diagnoses of multiple clinical presentations and optimal management should involve multidisciplinary care.