UNUSUAL SKIN ULCERATION IN AN HIV-POSITIVE PATIENT WHO HAD CUTANEOUS SYPHILIS AND NEUROSYPHILIS

We present a case of a patient coinfected with syphilis and the human immunodeficiency virus (HIV) who had unusual and severe cutaneous ulce ration. The profound immune defects associated with HIV may lead to an altered clinical presentation and a more aggressive course in patient s infected with Treponema pallidum. Despite non-confirmatory histologi cal findings, we feel our patient's cutaneous ulcers probably represen t superficial gummata, which have failed to resolve completely followi ng currently accepted high-dose antisyphilis chemotherapy.