MDNews - Minnesota

August/September 2018

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Make a referral today. stdavidscenter.org/referral East African Autism Day Treatment DIAGNOSIS: secondary syphilis A seconda r y sy philis biopsy conf irmed f lorid ly positive f luorescent treptoneme a nt ibod ies a s say, a nd her R PR t es t wa s strong ly positive. Treatment of choice is high-dose IM penicillin. Some even repeat the injection t wo weeks later. The patient and partner were referred to the department of hea lth STD clinic for treatment, pa r tner testing a nd both for HI V testing. They will a lso be followed/monitored by that clinic. The lesions a re what some tex t s refer to a s "copper pen n ies" (Br itish pen n ies) of seconda r y sy philis. For additiona l information a nd informa- tion for patients, please see: nlm.nih.gov/medlineplus/sy philis.html m ayo c l i n ic .or g /d i s e a s e s - c ond it ion s/ sy philis/ basics/def inition/con-20021862 webmd.com/sexual-conditions/guide/syphilis F o r m o r e i n f o r m a t i o n , c o n t a c t C h a r l e s E . C r u t c h f i e l d I I I , M D , a t C r u t c h f i e l d D e r m a t o l o g y o r v i s i t Cr utchfield Der matology.com . ■ A 39žYE ARžOLD WOMAN PRESENTS WITH ITCHY, SCALING MACULOPAPULES ON HER PALMS AND VERY FAINT, SIMIL AR LESIONS ON HER SOLES OF 10 DAYS DUR ATION. THERE ARE NO PAPULES ON HER FACE OR IN HER MOUTH. SHE REPORTS MILD FLUžLIKE SYMPTOMS FOR THE PA ST WEEK OR SO AND IS OTHERWISE HE ALTHY, TAKING ONLY A MULTIVITAMIN AND OR AL CONTR ACEPTIVES. Case of the Month with Crutchfield Dermatology M D N E W S . C O M /// M D N E W S M I N N E S O TA ■ 2 018 D I A G N O S T I C S ❰❰❰❰❰ 2 3

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