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International Journal of STD & AIDS

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Int J STD AIDS 2008;19:793-794
doi:10.1258/ijsa.2008.008105
© 2008 Royal Society of Medicine Press

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Case reports

A case of gastric syphilis with neurosyphilis presented as epigastric pain

H W Jeong MD PhD * , W J Jeon MD * and R H Sung MD {dagger}

* Department of Internal Medicine; {dagger} Department of Pathology, College of Medicine, Chungbuk National University, Cheongju 361–711, Republic of Korea

Correspondence to: Dr Hye Won Jeong Email: hwjeong{at}medimail.co.kr

Gastric syphilis has non-specific symptoms and various endoscopic and radiographic findings. Spirochetes are seen infrequently in biopsy specimens and the pathological findings are often non-specific. So it is very difficult to make a definitive diagnosis of gastric syphilis based on clinical symptoms and biopsy findings. We report the case of a gastric syphilis with neurosyphilis presented with epigastric pain. This case reminds us that gastric syphilis is one possibility in ulcerative gastric lesions.

Key Words: gastric syphilis • stomach • Treponema pallidum


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