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Bru-Gorraiz" "autores" => array:3 [ 0 => array:4 [ "nombre" => "A." "apellidos" => "Martin-Gorgojo" "email" => array:1 [ 0 => "alejandromartingorgojo@aedv.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "G." "apellidos" => "Bastidas-Pérez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "F.J." "apellidos" => "Bru-Gorraiz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de ITS/Dermatología, Sección de Especialidades Médicas, Ayuntamiento de Madrid, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Centro de Atención Primaria Valdebernardo, Unidad Docente de Atención Primaria Sureste, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Los condilomas planos o condiloma lata como un síntoma guía de una sífilis secundaria" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1184 "Ancho" => 1501 "Tamanyo" => 190540 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A cisgender homosexual male attended the clinic for evaluation of lesions on the perianal region that had first appeared some weeks before. These lesions had been treated using electrocoagulation at another center, with no improvement. The examination revealed erythematous nodules and papules, some of which had an ulcerated surface (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). The physical examination of the rest of the skin revealed a depapillated area on the tongue (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B) and a faint maculopapular rash on the trunk, erythematous desquamative papules with Biett collarette on the palms and soles, and 2 adjacent noninfiltrated plaques with an erosive appearance on the glans penis (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The patient did not complain of local or systemic symptoms.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Given the suspicion of secondary syphilis, treatment was with intramuscular benzylpenicillin G benzathine at 2.4 million IU. Serology testing for syphilis using enzyme-linked immunosorbent assay revealed positive titers for IgG and IgM against <span class="elsevierStyleItalic">Treponema pallidum</span> and a rapid plasma reagin value of 1/32. We also ruled out the presence of other sexually transmitted infections based on negative results for urine, pharyngeal, and rectal samples.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Condyloma lata is an uncommon manifestation and sometimes the main and only manifestation of secondary syphilis. 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