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Correspondence
January 2005

Evidence of an Outbreak of Syphilis Among Men Who Have Sex With Men in Rome

Arch Dermatol. 2005;141(1):100-101. doi:10.1001/archderm.141.1.100

Outbreaks of infectious syphilis have occurred in several European and North American cities among men who have sex with men (MSWM) and heterosexuals, particularly among persons already aware of being infected with human immunodeficiency virus 1 (HIV-1). Most outbreaks occurred from 1998 to 2002 and among indigenous populations or resident foreigners. These outbreaks have led to an increase in the annual syphilis incidence in countries such as the United States and the United Kingdom, where disease occurrence had been progressively decreasing.1,2

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