12.07.2015 Views

Approach to Rash in a Patient with HIV

Approach to Rash in a Patient with HIV

Approach to Rash in a Patient with HIV

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Secondary SyphilisClues• Risky SEX (2-8 8 wk ago)– Higher <strong>in</strong>cidence <strong>in</strong> MSM risk group• Involvement of palms & solesCl<strong>in</strong>ically assess for neurosyphilis• Include vision & hear<strong>in</strong>g <strong>in</strong> neurologicalsystem evaluationDiagnosis• Serum RPR or VDRL (titer); if positive,confirma<strong>to</strong>ry test

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