PRIMARY SYPHILIS WITH MULTIPLE CHANCRES AND PORPHYRIA-CUTANEA-TARDA IN AN HIV-INFECTED PATIENT

A 51-year-old promiscuous heterosexual man with no history of venereal diseases or porphyria had a large genital chancre and deep erosions o n the hands. The HIV serology was positive; the CD4 lymphocyte count w as 187/mm(3), but the patient did not fulfill the CDC criteria for AID S. Five months later he developed a clinical and biochemically typical porphyria cutanea tarda.