Article Text


Bone pain as the presenting manifestation of secondary syphilis.
  1. S Middleton,
  2. C Rowntree,
  3. S Rudge
  1. Department of Rheumatology, London Hospital.


    A 31 year old fireman presented with acute pain and tenderness in both shins and forearms. Radiographs were normal but bone scintigraphy showed widespread increased isotope uptake. Serology was consistent with a diagnosis of secondary syphilis, and the patient's symptoms resolved completely six weeks after a course of penicillin.

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