{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:49:52Z","timestamp":1787071792293,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Syphilis, often referred to as \u201cthe great imitator,\u201d frequently leads to misdiagnosis due to its diverse clinical manifestations. It typically presents with macular, maculopapular, or papular lesions, and can, although rarely, cause erythema multiforme (EM)-like lesions. We report a case of secondary syphilis in a patient living with HIV\/AIDS, presenting with EM-like lesions, showing numerous plasma cells on histopathological examination. Dermoscopy of these lesions revealed a diffuse red background with central purpuric areas and dotted vessels at the periphery. These lesions resolved with treatment for secondary syphilis. This case is notable due to the rarity of EM-like lesions in secondary syphilis, highlighting the importance of early diagnosis and treatment.<\/jats:p>","DOI":"10.4103\/ijstd.ijstd_20_25","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T10:00:24Z","timestamp":1765360824000},"page":"197-199","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Secondary syphilis mimicking erythema multiforme"],"prefix":"10.4103","volume":"46","author":[{"given":"Tahura Fatima","family":"Ahmad","sequence":"first","affiliation":[{"name":"Department of Dermatology and STD, University College of Medical Sciences and GTB Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bharti","family":"Aggarwal","sequence":"additional","affiliation":[{"name":"Department of Dermatology and STD, University College of Medical Sciences and GTB Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepika","family":"Pandhi","sequence":"additional","affiliation":[{"name":"Department of Dermatology and STD, University College of Medical Sciences and GTB Hospital, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"R1-20251210","doi-asserted-by":"crossref","first-page":"17073","DOI":"10.1038\/nrdp.2017.73","article-title":"Syphilis","volume":"3","author":"Peeling","year":"2017","journal-title":"Nat Rev Dis Primers"},{"key":"R2-20251210","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1159\/000346745","article-title":"Syphilis mimicking other dermatological diseases: Reactive arthritis and mucha-habermann disease","volume":"5","author":"da Silva Carneiro","year":"2013","journal-title":"Case Rep 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erythema multiforme in a HIV-positive homosexual man: A case report and literature review","volume":"30","author":"Liu","year":"2019","journal-title":"Int J STD AIDS"},{"key":"R10-20251210","first-page":"55","article-title":"Unusual presentation of secondary syphilis mimicking erythema multiforme in HIV positive patient: A case report","volume":"46","author":"Rahmatika","year":"2023","journal-title":"Pan Afr Med J"},{"key":"R11-20251210","doi-asserted-by":"crossref","first-page":"647","DOI":"10.2340\/00015555-0920","article-title":"Erythema multiforme-like secondary syphilis in a HIV-positive bisexual man","volume":"90","author":"Wu","year":"2010","journal-title":"Acta Derm Venereol"}],"container-title":["Indian Journal of Sexually Transmitted Diseases and AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijstd.ijstd_20_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:55:45Z","timestamp":1787068545000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijstd.ijstd_20_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ijstd.ijstd_20_25","relation":{},"ISSN":["2589-0557","2589-0565"],"issn-type":[{"value":"2589-0557","type":"print"},{"value":"2589-0565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2025-01-31","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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