en POLSKI
eISSN: 2084-9834
ISSN: 0034-6233
Reumatologia/Rheumatology
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SCImago Journal & Country Rank
 
3/2017
vol. 55
 
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abstract:
Case report

Aortic aneurysm in a patient with syphilis-related spinal pain and paraplegia

Daniel Brito de Araujo
,
Danise Senna Oliveira
,
Rodrigo Kraft Rovere
,
Umberto Lopes de Oliveira Filho

Reumatologia 2017; 55, 3: 151–153
Online publish date: 2017/07/18
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The tertiary stage of syphilis is nowadays extremely rare, showing predilection for the cardiovascular and nervous systems.

A 57-year-old Caucasian man sought medical assistance due to back pain that evolved to paraplegia of the lower limbs. A thoracic CT scan demonstrated an important aneurysmatic lesion of the descending thoracic aorta causing erosion of the vertebral bodies and VDRL and FTA-abs positivity.

Although rare, syphilitic aortitis, the hallmark of cardiovascular syphilis, should be considered in the differential diagnosis in patients with thoracic aneurysm when in the absence of classic risk factors for atherosclerosis, especially in cases that progress with erosion of vertebral bodies.
keywords:

back pain, tertiary syphilis, syphilitic aneurysm









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