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A Journal on Dermatology

Journal of Istituto Dermatologico San Gallicano
Official Journal of the Associazione Dermatologi Ospedalieri Italiani - A.D.O.I.
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Esperienze Dermatologiche 2008 December;10(4):175-8

language: English, Italian

An Italian young woman with multiple ulcerative lesions of external genitalia

Di Landro A. 1, Imberti G. 1, Marchesi L. 1, Morganti P. 2, Reato C. 2, Corti D. 3

1 USC di Dermatologia, Azienda Ospedaliera Ospedali Riuniti di Bergamo, Università degli Studi di Milano, Bergamo
2 Unità Operativa di Ostetricia-Ginecologia, Ospedale di Treviglio, Treviglio, Bergamo
3 Unità Operativa di Anatomia Patologica, Ospedale di Treviglio, Treviglio, Bergamo


The return of syphilis that has been recorded in recent years in both the USA and in Europe has involved special categories such as homosexuals or people with multiple partners belonging to the poorest social classes and with little access to public medicine facilities. Although the male sex is most at risk of contracting the disease, if the infection in pregnant woman is not diagnosed and treated early it can lead to cases of congenital syphilis with severe consequences for the newborn. In this event it is women from outside the European community who are most at risk. We describe the case of a young Italian woman married to an Albanian who during her puerperium, 20 days from delivery, developed multiple ulcerative lesions of the external genital organs associated with positive serology for syphilis, diagnosed as multiple syphilomas. The newborn, born healthy, had no suspicious clinical signs and the serology was always negative, while the husband was found to be a carrier of serological lues of which he was unaware, and he was also HIV+.

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