Abstract
Background
Nowadays, the patient full examination is challenging by limited time in different medical fields (Musellim B. et al, 2017). It can lead inappropriate diagnosis and treatment. Therefore, it is important to use patient examination gold Approach a capite ad calcem.
Methods
The medical documentation, pathology slides and
data of laboratory results were reviewed in the context of upto-date medical literature.
Results
A 34-year-old white man presents with a complaint
about itching on his legs and arms that follow him around
four months.
In objective examination of the overall status – without any
deviation of the norm. In the local status, we found infiltrative, hyperaemic papules with yellowish crusted erosions on both legs and arms with well demarcated. On both legs we found varicose veins. Sexual history said that last sexual contact had been two years ago. The full blood test, infection
tests (HIV, RPR, TPHA, HCV), microbiology and skin punch biopsy were done. Work diagnosis at the beginning: exacerbation of chronic eczema. Important to keep in mind, cutaneous features of secondary syphilis sometime can show as chronic dermatitis.
The blood test result, total IgE showed without any deviation of the norm. RPR – positive (4+), TPHA (4+, 1:1280), HIV – negative, HCV – negative. Excreted from the skin: Staphylococcus aureus, Streptococcus pyogenes (beta haemolytic group A). Other sexual transmissive disease – negative. The skin punch biopsy was done from arm skin. At the pathophysiological conclusion said that: histological picture is possible in the case of Lyme disease. Lyme disease parameters
are not determined due to treatment interruption at the patient‘s request.
Conclusion
A capite ad calcem approach is an essential part in
dermatovenerology practice. It can help for doctor find not
just seemingly the main reason for patient‘s complain but
allow watch wider.
Nowadays, the patient full examination is challenging by limited time in different medical fields (Musellim B. et al, 2017). It can lead inappropriate diagnosis and treatment. Therefore, it is important to use patient examination gold Approach a capite ad calcem.
Methods
The medical documentation, pathology slides and
data of laboratory results were reviewed in the context of upto-date medical literature.
Results
A 34-year-old white man presents with a complaint
about itching on his legs and arms that follow him around
four months.
In objective examination of the overall status – without any
deviation of the norm. In the local status, we found infiltrative, hyperaemic papules with yellowish crusted erosions on both legs and arms with well demarcated. On both legs we found varicose veins. Sexual history said that last sexual contact had been two years ago. The full blood test, infection
tests (HIV, RPR, TPHA, HCV), microbiology and skin punch biopsy were done. Work diagnosis at the beginning: exacerbation of chronic eczema. Important to keep in mind, cutaneous features of secondary syphilis sometime can show as chronic dermatitis.
The blood test result, total IgE showed without any deviation of the norm. RPR – positive (4+), TPHA (4+, 1:1280), HIV – negative, HCV – negative. Excreted from the skin: Staphylococcus aureus, Streptococcus pyogenes (beta haemolytic group A). Other sexual transmissive disease – negative. The skin punch biopsy was done from arm skin. At the pathophysiological conclusion said that: histological picture is possible in the case of Lyme disease. Lyme disease parameters
are not determined due to treatment interruption at the patient‘s request.
Conclusion
A capite ad calcem approach is an essential part in
dermatovenerology practice. It can help for doctor find not
just seemingly the main reason for patient‘s complain but
allow watch wider.
| Original language | English |
|---|---|
| Article number | P098 |
| Pages (from-to) | A86 -A87 |
| Number of pages | 2 |
| Journal | Sexually Transmitted Infections |
| Volume | 97 |
| Issue number | S1 |
| DOIs | |
| Publication status | Published - 2021 |
| Event | STI & HIV 2021 World Congress - virtually Duration: 14 Jul 2021 → 17 Jul 2021 https://www.stihiv2021.org/ |
Field of Science*
- 3.2 Clinical medicine
Publication Type*
- 3.3. Publications in conference proceedings indexed in Web of Science and/or Scopus database
