Arunprasath P, Someshwaran R, Mahadevan K, Babu NP, Ashwathi S. Follmann balanitis - A very rare presentation of primary syphilis.
Indian J Sex Transm Dis AIDS 2023;
44:163-164. [PMID:
38223147 PMCID:
PMC10785110 DOI:
10.4103/ijstd.ijstd_76_22]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 11/01/2022] [Accepted: 12/09/2022] [Indexed: 01/16/2024] Open
Abstract
Syphilis is a sexually transmitted infection caused by Treponema pallidum. The primary stage of the disease manifests as a chancre. Balanoposthitis as a presenting feature of primary syphilis is a very rare presentation. A 26-year-old male presented with asymptomatic erythematous plaques involving the glans and prepuce after unprotected intercourse with a known female. Routine investigations, serology, and dark field examination were normal. Fontana-Masson stain revealed spirochetes and a diagnosis of syphilitic balanitis of Follmann was entertained. This rare presentation accounts for only 0.3%-0.5% of cases of primary syphilis and hence is highlighted in this case report.
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