Pathological Infective Skin Rashes That May Be Seen In Gum Clinics

SECONDARY SYPHILIS

Lesions associated with secondary or disseminated syphilis occur more than three weeks, and usually four to ten weeks, following initial inoculation with Treponema pallidum. The rash of secondary syphilis is reported to start as an evanescent macular rash that usually goes unnoticed by both patient and clinician. A few days later a symmetrical papular eruption appears that involves the whole trunk and the extremities, including the palms of the hands and the soles of the feet. Papules are typically red or reddish brown, discrete, and 0.5-1.0 cm in diameter. Usually scaly, they may also be smooth, follicular or pustular (Musher, cited in Holmes et al. 1999).

HIV SERO-CONVERSION

The skin rash associated with HIV sero-conversion is described as red and macular, suggestive of pityriasis rosea, but extending to the face and the palms of the hand and soles of the feet (Hawkins cited in Gazzard, 2002).

FUNGAL INFECTIONS Candida infections

Candida infections can cause marked skin irritation and oedema. Erythema is commonly present in women and fissuring may occur at the introitus. Though infection is less common in men, mild erythema and balanitis or balanoposthitis may occur, with fissuring of the prepuce.

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