Follmann balanitis - A very rare presentation of primary syphilis.

Indian J Sex Transm Dis AIDS

Department of Microbiology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.

Published: December 2023

AI Article Synopsis

  • Syphilis is a sexually transmitted infection that commonly starts with a painless sore called a chancre.
  • A rare case of syphilitic balanitis was reported in a 26-year-old male who had asymptomatic red plaques on the glans and prepuce after unprotected sex.
  • This unusual presentation is seen in only 0.3%-0.5% of primary syphilis cases, making it a noteworthy find in medical literature.

Article Abstract

Syphilis is a sexually transmitted infection caused by . 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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10785110PMC
http://dx.doi.org/10.4103/ijstd.ijstd_76_22DOI Listing

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