{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T03:37:28Z","timestamp":1778902648469,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:00:00Z","timestamp":1745971200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sexually transmitted infections (STIs) rates have increased in the last two decades in Western world, including syphilis. Higher rates of syphilis lead to the emergence of atypical or less common manifestations like Follmann\u2019s balanitis. Follmann\u2019s balanitis is an atypical presentation of primary syphilis characterized as erythematous, erosive lesions on the glans penis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The aim of the study is to describe the cases of the Follmann \u2018s diagnosed in Vall d\u2019Hebron-Drassanes STI Unit over 20 years (2003\u20132023). Retrospectively, the epidemiological, clinical and microbiological data were collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total 20 cases of Follmann\u2019s balanitis were diagnosed. The clinical presentation was heterogeneous, with erosive balanitis being the most frequent presentation. Fifteen per cent had also a chancre and 50% presented with lymphadenopathy. Dark field microscopy and\n                      <jats:italic>Treponema pallidum<\/jats:italic>\n                      NAAT were positive in 41% and 92% respectively, and the median RPR titre was 1\/4 (IQR 1\/2\u20131\/16).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Follmann\u2019s balanitis is a rare presentation of primary syphilis which has to be suspected in case of erosive balanitis, especially in key populations as MSM or persons with previous STIs, where syphilis is more frequent.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09564624251338657","type":"journal-article","created":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T22:11:36Z","timestamp":1746051096000},"page":"700-704","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Follmann\u2019s balanitis: An heterogeneous clinical manifestation of primary syphilis"],"prefix":"10.1177","volume":"36","author":[{"given":"Jorge","family":"P\u00e9rez Garcia","sequence":"first","affiliation":[{"name":"STI Unit Vall d\u2019Hebron Drassanes, Infectious Diseases Department, Universitary Hospital Vall d\u2019Hebron, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"\u00c1lvarez-Lopez","sequence":"additional","affiliation":[{"name":"STI Unit Vall d\u2019Hebron Drassanes, Infectious Diseases Department, Universitary Hospital Vall d\u2019Hebron, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliana","family":"Esperalba","sequence":"additional","affiliation":[{"name":"Microbiology Department, Hospital Vall d\u2019Hebron, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicente","family":"Descalzo","sequence":"additional","affiliation":[{"name":"STI Unit Vall d\u2019Hebron Drassanes, Infectious Diseases Department, Universitary Hospital Vall d\u2019Hebron, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2020-4193","authenticated-orcid":false,"given":"Maider","family":"Arando","sequence":"additional","affiliation":[{"name":"STI Unit Vall d\u2019Hebron Drassanes, Infectious Diseases Department, Universitary Hospital Vall d\u2019Hebron, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,30]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2020.11.133"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1610-0387.2008.06742.x"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dkad031"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000003187"},{"key":"e_1_3_5_6_2","article-title":"Vigilancia Epidemiol\u00f3gica del VIH y sida en Espa\u00f1a 2022: Sistema de Informaci\u00f3n sobre Nuevos Diagn\u00f3sticos de VIH y Registro Nacional de Casos de Sida. Centro Nacional de Epidemiolog\u00eda. Instituto de Salud Carlos III\/ Divisi\u00f3n de control de VIH, ITS, Hepatitis virales y tuberculosis","author":"Unidad de vigilancia de VIH, ITS y hepatitis","year":"2023","unstructured":"Unidad de vigilancia de VIH, ITS y hepatitis. Vigilancia Epidemiol\u00f3gica del VIH y sida en Espa\u00f1a 2022: Sistema de Informaci\u00f3n sobre Nuevos Diagn\u00f3sticos de VIH y Registro Nacional de Casos de Sida. Centro Nacional de Epidemiolog\u00eda. Instituto de Salud Carlos III\/ Divisi\u00f3n de control de VIH, ITS, Hepatitis virales y tuberculosis. Ministerio de Sanidad. Madrid; noviembre 2023.","journal-title":"Ministerio de Sanidad. Madrid; noviembre"},{"key":"e_1_3_5_7_2","unstructured":"Unidad de vigilancia de VIH ITS y hepatitis B y C. Vigilancia epidemiol\u00f3gica de las infecciones de transmisi\u00f3n sexual 2022. Centro Nacional de Epidemiolog\u00eda Instituto de Salud Carlos III\/Divisi\u00f3n de Control de VIH ITS Hepatitis virales y Tuberculosis Direcci\u00f3n General de Salud P\u00fablica; 2024."},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.16946"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.13802"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.12068"},{"key":"e_1_3_5_11_2","first-page":"470","article-title":"Le probleme de la balanite syphilitique. La vulvo-vaginite primarires syphilitique","volume":"8","author":"Follmann E","year":"1948","unstructured":"Follmann E. Le probleme de la balanite syphilitique. La vulvo-vaginite primarires syphilitique. Ann Dermatol Syph 1948; 8: 470\u2013483.","journal-title":"Ann Dermatol Syph"},{"issue":"2","key":"e_1_3_5_12_2","first-page":"138","article-title":"Syphilitic balanitis of Follmann developing after the appearance of the primary chancre. A case report","volume":"51","author":"Lejman K","year":"1975","unstructured":"Lejman K, Starzycki Z. Syphilitic balanitis of Follmann developing after the appearance of the primary chancre. A case report. Br J Vener Dis 1975; 51(2): 138\u2013140.","journal-title":"Br J Vener Dis"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2020.2275"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-0983"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/09564624231160578"},{"key":"e_1_3_5_16_2","volume-title":"ECDC. Annual Epidemiological Report for 2022","author":"European Centre for Disease Prevention and Control","year":"2024","unstructured":"European Centre for Disease Prevention and Control. Syphilis. In: ECDC. Annual Epidemiological Report for 2022. Stockholm: ECDC, 2024."},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.5826\/dpc.1201a22"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624251338657","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09564624251338657","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624251338657","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:46:36Z","timestamp":1777675596000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09564624251338657"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,30]]},"references-count":16,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1177\/09564624251338657"],"URL":"https:\/\/doi.org\/10.1177\/09564624251338657","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,30]]}}}