Early syphilis: presenting as anal fissure
Keywords:
Early syphilis, anal fissure, homosexualityAbstract
Syphilis is a chronic, systemic and infectious sexually transmitted disease. It is one of thegreat imitators in medicine affecting most of the organs in the body. It can present to anypractitioner mimicking any medical or surgical disorder. We present a case of early syphiliswhich initially presented to surgeon as anal fissure and just before surgery; he was found tohave a widespread skin rash, suggestive of secondary syphilis. On inquiry, he admitted tohomosexual practice for the last 4-5 years. Diagnosis was confirmed on serology and wastreated accordingly. Skin rash as well as anal symptoms disappeared within two weeks oftreatment. He was referred to psychiatrist for behaviour therapy and was advised regularfollow up.References
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