IDCases (Jan 2021)

Plaques en prairie fauchée

  • Eric Farfour,
  • David Zucman

Journal volume & issue
Vol. 24
p. e01080

Abstract

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We report a clinical picture of a mowed meadow pattern of the tongue in a 29-year-old sexually active man who has sex with men. The painful lesions also called ''Plaques en prairie fauchée'', occur in the context of the discovery of a postive HIV serology. The diagnosis of secondary syphilis was confirmed by a positive syphilis serology (nontreponemal RPR test title of 64) and a positive Treponema pallidum PCR, amplifying the tpp47 gene, on a tongue swab. The lesions completely resolve with a penicillin treatment.

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