Dizziness And Rash In An HIV Positive Man

    June 2012 in “ BMJ
    Daniel Bradshaw, Nneka Nwokolo
    Studysummary This case report concludes that the most likely diagnosis for the patient's symptoms is secondary syphilis with neurological involvement.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    A 32-year-old HIV-positive man presented with dizziness, weight loss, unsteady walking, loss of eyebrow hair, and an itchy rash. Examination revealed an ataxic gait, a generalized scaly maculopapular rash, and ulcers on the hard palate. The most likely diagnosis was secondary syphilis with neurological involvement, as other conditions like guttate psoriasis, mycosis fungoides, and leprosy were less likely to cause the observed neurological symptoms and systemic illness.
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