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Feb 2012

A Case of “Syphilis Panniculitis ” Caused by Direct Fat Inoculation by Treponema pallidum

Author Affiliations

Author Affiliations: Department of Dermatology, University of Cincinnati College of Medicine, Cincinnati, Ohio.

Arch Dermatol. 2012;148(2):269-270. doi:10.1001/archdermatol.2011.2463

Since 2000, there has been a steady increase in the incidence of syphilis in the United States.1 In 2009, 13  997 cases of primary and secondary syphilis were reported, with an incidence rate of 4.6 cases per 100  000 persons.1 In light of this epidemic, the highly treatable nature of the disease, and the potential for serious sequelae if it is left untreated, recognition of the varied cutaneous manifestations of syphilis is critical. A case of secondary syphilis presenting with lesions of panniculitis on the legs is herein described.

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