{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T10:26:43Z","timestamp":1787567203194,"version":"build-2736575974"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"11-12","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"DOI":"10.13039\/501100010109","name":"Medical University of Graz","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100010109","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Wien Med Wochenschr"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Syphilis is a\u00a0curable, systemic sexually transmitted infection caused by the bacterium\n                      <jats:italic>Treponema pallidum<\/jats:italic>\n                      subsp\n                      <jats:italic>. pallidum<\/jats:italic>\n                      (TP). It is known as the \u201cgreat imitator\u201d due to its potential to mimic various dermatoses, possibly delaying correct diagnosis, particularly if syphilitic lesions appear in atypical locations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case description<\/jats:title>\n                    <jats:p>We report the case of a\u00a054-year-old heterosexual white man who presented with a\u00a0solitary, indurated ulcer on the mons pubis. Patient history revealed minimal trauma to the area 3\u00a0weeks prior, resulting from shaving. Initial topical treatment for bacterial folliculitis resulted in worsening of the lesion. Finally, in site polymerase chain reaction (PCR) for TP and syphilis serology verified the diagnosis of a\u00a0chancre.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case underlines the importance of including syphilis in the differential diagnosis of any anogenital ulceration, even in uncommon anatomical sites and populations, thereby enabling prompt diagnosis and treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10354-026-01159-2","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T08:51:01Z","timestamp":1778489461000},"page":"277-280","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Solitary ulcer at the mons pubis in a\u00a0heterosexual male patient","Solit\u00e4res Ulkus am Mons pubis bei einem heterosexuellen Patienten"],"prefix":"10.1007","volume":"176","author":[{"given":"Pia","family":"Hajsek","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Kr\u00e4nke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2342-022X","authenticated-orcid":false,"given":"Birgit","family":"Sadoghi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"issue":"11","key":"1159_CR1","doi-asserted-by":"publisher","DOI":"10.3390\/pathogens10111364","volume":"10","author":"G Tiecco","year":"2021","unstructured":"Tiecco\u00a0G, Degli Antoni\u00a0M, Storti\u00a0S, Marchese\u00a0V, Foc\u00e0\u00a0E, Torti\u00a0C, Castelli\u00a0F, Quiros-Roldan\u00a0E. A 2021 Update on Syphilis: Taking Stock from Pathogenesis to Vaccines. Pathogens. 2021;10(11)1364. https:\/\/doi.org\/10.3390\/pathogens10111364.","journal-title":"Pathogens"},{"issue":"6","key":"1159_CR2","doi-asserted-by":"publisher","first-page":"1603","DOI":"10.3390\/jcm13061603","volume":"13","author":"G Ciccarese","year":"2024","unstructured":"Ciccarese\u00a0G, Facciorusso\u00a0A, Mastrolonardo\u00a0M, Herzum\u00a0A, Parodi\u00a0A, Drago\u00a0F. Atypical Manifestations of Syphilis: A\u00a010-Year Retrospective Study. J\u00a0Clin Med. 2024;13(6):1603\u20131603. https:\/\/doi.org\/10.3390\/jcm13061603.","journal-title":"J Clin Med"},{"issue":"5","key":"1159_CR3","doi-asserted-by":"publisher","first-page":"504","DOI":"10.1111\/ddg.14999","volume":"21","author":"B Sadoghi","year":"2023","unstructured":"Sadoghi\u00a0B, Stary\u00a0G, Wolf\u00a0P. Syphilis. J\u00a0Dtsch Dermatol Ges. 2023;21(5):504\u201317. https:\/\/doi.org\/10.1111\/ddg.14999.","journal-title":"J Dtsch Dermatol Ges"},{"key":"1159_CR4","unstructured":"European Centre for Disease Prevention and Control. Syphilis \u2013 Annual Epidemiological Report 2023. 2025. https:\/\/www.ecdc.europa.eu\/en\/publications-data\/syphilis-annual-epidemiological-report-2023. Accessed 31.7.2025."},{"issue":"4","key":"1159_CR5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.15585\/mmwr.rr7004a1","volume":"70","author":"KA Workowski","year":"2021","unstructured":"Workowski\u00a0KA, Bachmann\u00a0LH, Chan\u00a0PA, Johnston\u00a0CM, Muzny\u00a0CA, Park\u00a0I, Reno\u00a0H, Zenilman\u00a0JM, Bolan\u00a0GA. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep. 2021;70(4):1\u2013187. https:\/\/doi.org\/10.15585\/mmwr.rr7004a1.","journal-title":"MMWR Recomm Rep"},{"issue":"2","key":"1159_CR6","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1007\/s40257-022-00755-3","volume":"24","author":"C Whiting","year":"2023","unstructured":"Whiting\u00a0C, Schwartzman\u00a0G, Khachemoune\u00a0A. Syphilis in Dermatology: Recognition and Management. Am J Clin Dermatol. 2023;24(2):287\u201397. https:\/\/doi.org\/10.1007\/s40257-022-00755-3.","journal-title":"Am J Clin Dermatol"},{"issue":"10","key":"1159_CR7","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.00100-21","volume":"59","author":"F Satyaputra","year":"2021","unstructured":"Satyaputra\u00a0F, Hendry\u00a0S, Braddick\u00a0M, Sivabalan\u00a0P, Norton\u00a0R. The Laboratory Diagnosis of Syphilis. J\u00a0Clin Microbiol. 2021;59(10)e0010021. https:\/\/doi.org\/10.1128\/JCM.00100-21.","journal-title":"J Clin Microbiol"}],"container-title":["Wiener Medizinische Wochenschrift"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10354-026-01159-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10354-026-01159-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10354-026-01159-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T08:54:35Z","timestamp":1787561675000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10354-026-01159-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,11]]},"references-count":7,"journal-issue":{"issue":"11-12","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["1159"],"URL":"https:\/\/doi.org\/10.1007\/s10354-026-01159-2","relation":{},"ISSN":["0043-5341","1563-258X"],"issn-type":[{"value":"0043-5341","type":"print"},{"value":"1563-258X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,11]]},"assertion":[{"value":"25 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 May 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"P.\u00a0Hajsek, T.\u00a0Kr\u00e4nke and B.\u00a0Sadoghi declare that they have no competing interests.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Ethics"}}]}}