Syphilis as Athlete’s Foot: “The Great Imitator” Strikes Again
KEY WORDSsyphilis tinea pedis human immunodeficiency virus
While studies have not shown an independent association between HIV infection and cutaneous dermatophyte infections1, those with HIV infection may develop more severe infections that can be refractory to treatment2. Neither dermatophyte infections nor secondary syphilis typically cause pain. It was presumed that maceration from cutaneous breakdown was the source of this patient’s pain. The presence of macular lesions on the soles and palms was an important clue in the diagnosis of syphilis in this patient.
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Conflict of Interest
The authors declare that they do not have a conflict of interest.