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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 30-year-old man with no medical history of interest was admitted for a painful oral lesion that appeared 3 weeks earlier&#46; The patient presented a white&#44; well-defined plaque of firm consistency in the right jugal mucosa&#44; with an erosive area in the most anterior part &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; The patient reported no unprotected sexual relations&#46; The physical examination was normal&#44; and the HIV serology was negative&#46; The screening for syphilis was positive with a positive nontreponemal test &#40;rapid plasma reagin&#41; at a titer of 1&#58;128 and a reactive treponemal test &#40;fluorescent treponemal antibody absorption&#41;&#46; The rest of the laboratory measurements &#40;renal and hepatic function&#44; ionogram&#44; hemogram&#41; were normal&#46; The patient underwent treatment with 2&#46;4 million units of intramuscular benzathine penicillin G&#46; The lesion disappeared 2&#8211;3 weeks after the treatment&#46; Six months later&#44; the rapid plasma reagin titer fell to 1&#58;1&#44; which is considered indicative of healing&#46; This case illustrates an important aspect&#58; It is important to consider syphilis in sexually active patients with oral ulcerative lesions&#44; given that chancre is not always painless&#44; and the absence of a clearly identifiable risky relationship does not rule out the diagnosis&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>"
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Medicine in Images
DOI: 10.1016/j.rceng.2019.03.028
Oral syphilitic chancre in a 30-year-old man
Chancro sifilítico oral en varón de 30 años
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J.A. Rueda-Caminoa,
Corresponding author
joseantonio.rueda@salud.madrid.org

Corresponding author.
, E. Esteban-Garridob, C. Martínez-Moránb
a Servicio de Medicina Interna, Hospital Universitario de Fuenlabrada, Madrid, Spain
b Servicio de Dermatología, Hospital Universitario de Fuenlabrada, Madrid. Spain

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