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February 1976

Secondary Syphilis and Sarcoidosis

Arch Dermatol. 1976;112(2):261. doi:10.1001/archderm.1976.01630260061016

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To the Editor.—  A case of secondary syphilis and sarcoidosis, which was diagnosed radiologically, was reported recently by McMillan and Burns (Arch Dermatol 111:264, 1975). We would like to report a similar case.The patient, born in 1932, was seen in the clinic of the Department of Ophthalmology, University of Geneva, in February 1971 for uveitis. One year before coming to the clinic, he had had a chancre of the foreskin and urethritis; he was unable to specify the treatment given at that time. Approximately six months later, spreading, erythematous lesions appeared on the torso. When he came to the clinic of the Department of Dermatology in July 1971, acuminate, papular lesions, scattered all over the torso, and epitrochlear nodes had been developing for three months. The following laboratory tests for syphilis were reactive: Bordet-Wassermann, + + +; Reiter protein complement fixation, + + +; VDRL test for syphilis (initially with a titer of 1/8; later,

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