Syphilis remains a major public health problem. However, with increased travel, very rare Spirochetal infections are now making inroads into Western Medicine. Above is a classic gumma of tertiary syphilis.
Test your diagnostic acumen with this review of interesting cases from this past week's signout.
These signet ring cells may be a primary cutaneous carcinoma but may also represent a metastasis. What additional immunohistochemical stains would you order to confirm the diagnosis?
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Thanks!
Dr. S
Paul K. Shitabata, M.D.
Dermatopathology Institute of LA BioMed
