1
|
Drummond F, Guy R, Kaldor JM, Donovan B. The intersection between HIV and syphilis in men who have sex with men: some fresh perspectives. ACTA ACUST UNITED AC 2010. [DOI: 10.2217/hiv.10.55] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
Syphilis is increasing in men who have sex with men and disproportionately affects HIV-infected men. Here we review the epidemiology, diagnostic techniques, treatment guidelines, follow-up procedures and control of syphilis. The difference in these factors in HIV-infected men and uninfected men and evidence for this is reviewed. We explain that HIV-infected men are at higher risk of syphilis acquisition as a result of different behavioral factors. Thus, some control strategies may be different for HIV-infected men owing to these factors and also because HIV-infected men are more closely linked with medical care. There is no strong evidence to suggest there should be any differences in diagnostic techniques, treatment guidelines or follow-up procedures between HIV-infected and uninfected men.
Collapse
Affiliation(s)
| | - Rebecca Guy
- National Centre in HIV Epidemiology & Clinical Research, University of New South Wales, Sydney NSW 2052, Australia
| | - John M Kaldor
- National Centre in HIV Epidemiology & Clinical Research, University of New South Wales, Sydney NSW 2052, Australia
| | - Basil Donovan
- National Centre in HIV Epidemiology & Clinical Research, University of New South Wales, Sydney NSW 2052, Australia
- Sydney Sexual Health Centre, Sydney Hospital, Sydney, NSW 2000, Australia
| |
Collapse
|
2
|
Mullooly C, Higgins SP. Secondary syphilis: the classical triad of skin rash, mucosal ulceration and lymphadenopathy. Int J STD AIDS 2010; 21:537-45. [DOI: 10.1258/ijsa.2010.010243] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
After years of declining incidence in many developed countries, syphilis infection has re-emerged as a major public health problem in the past decade. The secondary stage of syphilis epitomizes the capacity of the infection to present in myriad ways. The skin, lymph glands and mucosal membranes are the most commonly affected tissues.
Collapse
Affiliation(s)
- C Mullooly
- Department of Genitourinary Medicine, North Manchester General Hospital, Crumpsall, Manchester M8 5RB, UK
| | - S P Higgins
- Department of Genitourinary Medicine, North Manchester General Hospital, Crumpsall, Manchester M8 5RB, UK
| |
Collapse
|