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Eur J Dermatol. 2009 Sep-Oct;19(5):504-6. doi: 10.1684/ejd.2009.0712. Epub 2009 Jun 2.

Neurosyphilis manifesting as lightning pain.

Author information

1
Department of Neurology, Second Affiliated Hospital, College of Medicine, Zhejiang, University, 88 Jiefang Road, Hangzhou China. 310009.

Abstract

The large scale use of antibiotics in recent years has changed the face of neurosyphilis, as it has been accompanied by a drop in incidence and frequent replacement of typical forms of presentation with atypical or masked forms. Herein, we describe three patients who presented initially with intermittent stabbing, or lightning-like pains in the extremities that lasted for several years, who were subsequently diagnosed as having neurosyphilis during a clinical evaluation. The clinical symptoms underlying neurosyphilis are complex, rendering diagnosis and treatment difficult. Therefore clinicians must learn to recognize these symptoms to improve patient outcomes.

PMID:
19487174
DOI:
10.1684/ejd.2009.0712
[Indexed for MEDLINE]

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