Secondary Syphilis in HIV-Infected Men Who Have Sex with Men: A Case Report

    March 2020 in “ Berkala Ilmu Kesehatan Kulit dan Kelamin ”
    Ade Fernandes, Evy Ervianti
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    TLDR HIV-infected men who have sex with men are at higher risk for aggressive syphilis, but treatment and tests are effective.
    The document reported a case of secondary syphilis in a 24-year-old HIV-infected man who has sex with men (MSM), highlighting the increased risk and altered disease progression in this population. The patient presented with a non-painful rash and "moth eaten" alopecia, following a resolved genital ulcer. Diagnosis was confirmed with serologic tests, and treatment with benzathine penicillin was administered. The study emphasized that while clinical manifestations of syphilis in HIV-infected individuals were similar, lesions could be more aggressive, and serologic tests remained reliable for diagnosis and monitoring treatment response. Regular serologic follow-up was necessary to ensure treatment success.
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