Dizziness And Rash In An HIV Positive Man
June 2012
in “
BMJ
”
TLDR The man likely has secondary syphilis affecting his nervous system.
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.
