Primary Syphilis Masquerading as a Tumour-like Foreskin Mass

Heartlands Hospital Birmingham, Bordesley Green East, Birmingham, United Kingdom

*Corresponding author: Dr. Rishi Agrawal, Heartlands Hospital Birmingham, Bordesley Green East, Birmingham, B9 5SS, United Kingdom, Phone: 447972643739, Email: [email protected]

Received Date: September 03, 2024

Published Date: November 05, 2024

Citation: Agrawal R, et al. (2024). Primary Syphilis Masquerading as a Tumour-like Foreskin Mass. Mathews J Dermatol. 8(1):25.

Copyrights: Agrawal R, et al. © (2024).

ABSTRACT

We present a rare case of syphilis in a 59-year-old male with phimosis and a mass lesion on the foreskin, initially resembling a tumour. The patient had a 2-month history of penile redness, pain and ulceration, with examination revealing a 1 cm indurated lesion. Post-circumcision, a 20 mm solid, tan-coloured nodule was identified. Microscopic evaluation showed an inflammatory mass of plasma cells with perivascular distribution. Immunohistochemistry confirmed syphilis by detecting Treponema pallidum. This case highlights the importance of including syphilis in differential diagnoses and the value of immunohistochemical testing in atypical cases.

Keywords: Syphilis, Atypical Presentation, Foreskin Mass, Phimosis, Plasma Cell Infiltrate, Immunohistochemistry.