Document Detail

Is it useful to perform a chest X-ray in asymptomatic patients with late latent syphilis?
MedLine Citation:
PMID:  21427433     Owner:  NLM     Status:  In-Data-Review    
According to the British Association for Sexual Health and HIV (BASHH) guidelines, a chest X-ray is recommended as part of the assessment of patients with late latent syphilis to exclude cardiovascular complications. The aims of this study were firstly to audit all cases of late latent syphilis seen at our centre since 1994 and to see whether a chest X-ray was requested and secondly to assess whether performing a chest X-ray was clinically useful. Of the 456 case notes audited, 298 chest X-rays were requested; 182 (61%) were reported as normal. Results were not available for 64 (21%) and 32 (11%) patients either declined or did not attend for follow-up. There were 20 (7%) chest X-rays that were reported as abnormal, yet none of these radiological findings were consistent with the cardiovascular complications of syphilis. In view of the lack of significant chest X-ray findings in asymptomatic patients with late latent syphilis, a chest X-ray should not be requested.
R Dabis; K Radcliffe
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of STD & AIDS     Volume:  22     ISSN:  1758-1052     ISO Abbreviation:  Int J STD AIDS     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-03-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9007917     Medline TA:  Int J STD AIDS     Country:  England    
Other Details:
Languages:  eng     Pagination:  105-6     Citation Subset:  IM; X    
Whittall Street Clinic, Birmingham, UK.
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