<abstract xmlns="http://www.w3.org/1999/xhtml"><p> We report four cases of primary syphilis of the penis in HIV-negative men having unprotected insertive oral sexual intercourse with men. Patients presented with atypical penile lesions mimicking genital herpes, balanitis, lichen planus and fi xed drug eruption. Syphilis should be considered in the differential diagnosis of other genital diseases, both sexually or non-sexually transmitted. Considering the increasing incidence of atypical manifestations of syphilis, serological tests for syphilis should also be performed more often.</p></abstract>

We report four cases of primary syphilis of the penis in HIV-negative men having unprotected insertive oral sexual intercourse with men. Patients presented with atypical penile lesions mimicking genital herpes, balanitis, lichen planus and fi xed drug eruption. Syphilis should be considered in the differential diagnosis of other genital diseases, both sexually or non-sexually transmitted. Considering the increasing incidence of atypical manifestations of syphilis, serological tests for syphilis should also be performed more often.

Atypical presentations of primary genital syphilis in HIV-negative homosexually active men: a case series

City Institute for Skin and Venereal Diseases, Belgrade, Serbia

Institute of Epidemiology, School of Medicine, Belgrade University, Belgrade, Serbia

Serbian Journal of Dermatology and Venereology

We report four cases of primary syphilis of the penis in HIV-negative men having unprotected insertive oral sexual intercourse with men. Patients presented...

Atypical presentations of primary genital syphilis in HIV-negative homosexually active men: a case series

Published Online: Nov 29, 2012

Page range: 113 - 118

DOI: https://doi.org/10.2478/v10249-012-0010-y

Keywords
Syphilis, Syphilis Serodiagnosis, Penile Diseases, Sexual Behavior, Homosexuality, Male

This content is open access.

Atypical presentations of primary genital syphilis in HIV-negative homosexually active men: a case series

Published Online: Nov 29, 2012

Page range: 113 - 118

DOI: https://doi.org/10.2478/v10249-012-0010-y

KeywordsSyphilis, Syphilis Serodiagnosis, Penile Diseases, Sexual Behavior, Homosexuality, Male

This content is open access.

Keywords
Syphilis, Syphilis Serodiagnosis, Penile Diseases, Sexual Behavior, Homosexuality, Male