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She underwent a 14-day course of intravenous penicillin G and exhibited successful resolution of painful anogenital lesions as well as marked improvement in dermatological, oropharyngeal, laryngeal, and neurological symptoms.<\/jats:p>","DOI":"10.1136\/bcr-2018-226892","type":"journal-article","created":{"date-parts":[[2018,12,28]],"date-time":"2018-12-28T04:55:18Z","timestamp":1545972918000},"page":"e226892","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Painful rash with hoarseness: an atypical presentation of syphilis"],"prefix":"10.1136","volume":"11","author":[{"given":"Courtney L","family":"Hanlon","sequence":"first","affiliation":[{"name":"Department of Medicine, California Pacific Medical Center, San Francisco, California, USA"},{"name":"Department of Internal Medicine, Dartmouth College Geisel School of Medicine, Hanover, New Hampshire, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Artin","family":"Galoosian","sequence":"additional","affiliation":[{"name":"Department of Medicine, California Pacific Medical Center, San Francisco, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saima","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Medicine, California Pacific Medical Center, San Francisco, California, USA"},{"name":"Division of Gastroenterology and Hepatology, Department of Medicine, Rutgers New Jersey Medical School, Newark, New Jersey, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randall S","family":"Edson","sequence":"additional","affiliation":[{"name":"Department of Medicine, California Pacific Medical Center, San Francisco, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,12,27]]},"reference":[{"key":"2025082712022255000_11.1.e226892.1","unstructured":"Centers for Disease Control and Prevention. 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