{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T12:13:53Z","timestamp":1789820033620,"version":"4.0.1"},"reference-count":8,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T00:00:00Z","timestamp":1618444800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T00:00:00Z","timestamp":1618444800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Rep Dermatol"],"abstract":"<jats:p>Syphilis has received its classical designation as one of \u201cthe great imitators,\u201d reflecting a wide variety of symptoms and presentations, which can cause difficulties in diagnosis. Here we report an unusual case of secondary syphilis in a person with acute necrotizing tonsillitis and Sweet syndrome. A 33-year-old female presented with fever, bilateral cervical lymphadenopathy, tonsillar enlargements with ulcerated pus-filled lesions on the right tonsil, and multiple pseudovesicular, mammillated, edematous plaques on her neck, face, and extremities. Syphilis serology was positive and a skin biopsy demonstrated a neutrophil-rich dermatitis characteristic of Sweet syndrome. The association of &lt;i&gt;Treponema pallidum&lt;\/i&gt; infection with Sweet syndrome may be a coincidence; nevertheless, our case serves as a reminder that secondary syphilis should remain in the differential diagnosis of the acute febrile neutrophilic dermatosis. <\/jats:p>","DOI":"10.1159\/000509374","type":"journal-article","created":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T21:03:11Z","timestamp":1618520591000},"page":"216-221","source":"Crossref","is-referenced-by-count":4,"title":["Sweet Syndrome and Secondary Syphilis in a Person with Acute Necrotizing Tonsillitis"],"prefix":"10.1159","volume":"13","author":[{"given":"Joseph","family":"Mishal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor","family":"Viner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandro","family":"Livoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shlomo","family":"Maayan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eli","family":"Magen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2021,4,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100097322"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00457467"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1017\/S002221510600096X"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp12X636254"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.1964.tb14541.x"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1186\/1750-1172-2-34"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.1986.tb06244.x"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S1079-2104(00)70128-4"}],"container-title":["Case Reports in Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/509374","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/509374","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:46:33Z","timestamp":1745423193000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000509374"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,15]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,5,3]]}},"URL":"https:\/\/doi.org\/10.1159\/000509374","archive":["Portico"],"relation":{},"ISSN":["1662-6567"],"issn-type":[{"value":"1662-6567","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,15]]}}}