Document Detail

Pedal interdigital condylomata lata: a rare sign of secondary syphilis.
MedLine Citation:
PMID:  11289202     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Condylomata lata of the toe webs are uncommon manifestations of secondary syphilis. Considering the recent decline in the incidence of syphilis in the United States, such lesions are likely to present infrequently. In some cases, this phenomenon may be the only physical sign of syphilis; therefore, it is important that a high index of suspicion is maintained when evaluating toe web lesions in patients at epidemiologic risk for syphilis. GOALS: A case of secondary syphilis presenting solely with interdigital condyloma lata in the toe web spaces is reported, and similar cases reported in the literature are reviewed. STUDY DESIGN: This article documents the diagnosis of secondary syphilis based on a positive serology in conjunction with the development of interdigital condyloma lata as the only physical finding suggestive of lues. RESULTS: The latter lesions resolved after appropriate, adequate antibiotic therapy. CONCLUSIONS: A case of condylomata lata of the toe webs without other pertinent physical findings is presented. Analogous to lesions typically seen in the anogenital region, moist exophytic toe web plaques may represent condyloma lata and thereby be a sign of secondary syphilis. The differential diagnosis includes tinea pedis, erythrasma, macerated corns, verrucae, and several tropical mycoses (chromomycosis, mycetoma).
T Rosen; H Hwong
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Sexually transmitted diseases     Volume:  28     ISSN:  0148-5717     ISO Abbreviation:  Sex Transm Dis     Publication Date:  2001 Mar 
Date Detail:
Created Date:  2001-04-05     Completed Date:  2001-06-28     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7705941     Medline TA:  Sex Transm Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  184-6     Citation Subset:  IM    
Department of Dermatology, Baylor College of Medicine, Houston, Texas 77030, USA.
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MeSH Terms
Diagnosis, Differential
Foot Diseases / blood,  diagnosis*,  pathology
Syphilis, Cutaneous / blood,  diagnosis*,  pathology

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