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==X ray==
==X ray==
===Pulmonary===
Chest x ray is not routinely used to detect thoracic manifestations of Syphilis. However, thoracic aortic aneurysms associated with Syphilis may be detected incidentally as a widening of the aortic or mediastinal silhouettes on PA and lateral chest x ray. It remains difficult to assess the exact size accurately and further imaging studies are required to do so. <ref name="radiop"> https://radiopaedia.org/articles/thoracic-aortic-aneurysm. Accessed on September 28th, 2016. </ref><ref name="radiop1"> https://radiopaedia.org/articles/ascending-aortic-aneurysm. Accessed on September 28th, 2016. </ref>
Chest x ray is not routinely used to detect thoracic manifestations of Syphilis. However, thoracic aortic aneurysms associated with Syphilis may be detected incidentally as a widening of the aortic or mediastinal silhouettes on PA and lateral chest x ray. It remains difficult to assess the exact size accurately and further imaging studies are required to do so. <ref name="radiop"> https://radiopaedia.org/articles/thoracic-aortic-aneurysm. Accessed on September 28th, 2016. </ref><ref name="radiop1"> https://radiopaedia.org/articles/ascending-aortic-aneurysm. Accessed on September 28th, 2016. </ref>


===Cardiac===
===Bone===
On chest x-ray, secondary pulmonary syphilis may be characterized by the following:<ref name="pmid4175712">{{cite journal| author=Biro L, Hill AC, Kuflik EG| title=Secondary syphilis with unusual clinical and laboratory findings. | journal=JAMA | year= 1968 | volume= 206 | issue= 4 | pages= 889-91 | pmid=4175712 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?wdbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4175712  }} </ref><ref name="pmid16392072">{{cite journal| author=David G, Perpoint T, Boibieux A, Pialat JB, Salord H, Devouassoux M et al.| title=Secondary pulmonary syphilis: report of a likely case and literature review. | journal=Clin Infect Dis | year= 2006 | volume= 42 | issue= 3 | pages= e11-5 | pmid=16392072 | doi=10.1086/499104 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16392072  }} </ref><ref name="pmid: PMC3056368">{{cite journal| author=Burger HG, Baker HW, Buckler HM, Healy DL, Kovacs GT| title=Advances in reproductive medicine: Australian contributions. | journal=Aust N Z J Med | year= 1988 | volume= 18 | issue= 3 | pages= 263-77 | pmid=: PMC3056368 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3056368  }} </ref><ref name="pmid6613117">{{cite journal| author=Coleman DL, McPhee SJ, Ross TF, Naughton JL| title=Secondary syphilis with pulmonary involvement. | journal=West J Med | year= 1983 | volume= 138 | issue= 6 | pages= 875-8 | pmid=6613117 | doi= | pmc=1010855 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6613117  }} </ref><ref name="pmid4074225">{{cite journal| author=Geer LL, Warshauer DM, Delany DJ| title=Pulmonary nodule in secondary syphilis. | journal=Australas Radiol | year= 1985 | volume= 29 | issue= 3 | pages= 240-2 | pmid=4074225 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4074225  }} </ref>
On chest x-ray, secondary pulmonary syphilis may be characterized by the following:<ref name="pmid4175712">{{cite journal| author=Biro L, Hill AC, Kuflik EG| title=Secondary syphilis with unusual clinical and laboratory findings. | journal=JAMA | year= 1968 | volume= 206 | issue= 4 | pages= 889-91 | pmid=4175712 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?wdbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4175712  }} </ref><ref name="pmid16392072">{{cite journal| author=David G, Perpoint T, Boibieux A, Pialat JB, Salord H, Devouassoux M et al.| title=Secondary pulmonary syphilis: report of a likely case and literature review. | journal=Clin Infect Dis | year= 2006 | volume= 42 | issue= 3 | pages= e11-5 | pmid=16392072 | doi=10.1086/499104 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16392072  }} </ref><ref name="pmid: PMC3056368">{{cite journal| author=Burger HG, Baker HW, Buckler HM, Healy DL, Kovacs GT| title=Advances in reproductive medicine: Australian contributions. | journal=Aust N Z J Med | year= 1988 | volume= 18 | issue= 3 | pages= 263-77 | pmid=: PMC3056368 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3056368  }} </ref><ref name="pmid6613117">{{cite journal| author=Coleman DL, McPhee SJ, Ross TF, Naughton JL| title=Secondary syphilis with pulmonary involvement. | journal=West J Med | year= 1983 | volume= 138 | issue= 6 | pages= 875-8 | pmid=6613117 | doi= | pmc=1010855 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6613117  }} </ref><ref name="pmid4074225">{{cite journal| author=Geer LL, Warshauer DM, Delany DJ| title=Pulmonary nodule in secondary syphilis. | journal=Australas Radiol | year= 1985 | volume= 29 | issue= 3 | pages= 240-2 | pmid=4074225 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4074225  }} </ref>
*Bilateral infiltrates
*Bilateral infiltrates

Revision as of 22:49, 6 October 2016

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]

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Overview

Chest x ray is not routinely used to detect Syphilis. However, complications associated with Syphilis may be detected incidentally on x ray. Cardiovascular manifestations of syphilis may be seen as a non-specific widening of the aortic or mediastinal silhouettes on PA and lateral chest X ray[1][2]. Linear calcification of the ascending aorta is an almost pathognomonic finding of syphlitic aortitis[3]. This may prompt the clinician to order further imaging studies for confirmation. Additionally, on chest x-ray, secondary pulmonary syphilis may be characterized by the bilateral infiltrates, pleural effusion, subpleural nodules, and lymphadenopathy[4][5][6][7][8]. X ray findings may also include osteolytic bone lesions [9].

X ray

Pulmonary

Chest x ray is not routinely used to detect thoracic manifestations of Syphilis. However, thoracic aortic aneurysms associated with Syphilis may be detected incidentally as a widening of the aortic or mediastinal silhouettes on PA and lateral chest x ray. It remains difficult to assess the exact size accurately and further imaging studies are required to do so. [1][2]

Cardiac

Bone

On chest x-ray, secondary pulmonary syphilis may be characterized by the following:[4][5][6][7][8]

References

  1. ↑ 1.0 1.1 https://radiopaedia.org/articles/thoracic-aortic-aneurysm. Accessed on September 28th, 2016.
  2. ↑ 2.0 2.1 https://radiopaedia.org/articles/ascending-aortic-aneurysm. Accessed on September 28th, 2016.
  3. ↑ Dabis R, Radcliffe K (2011). "Is it useful to perform a chest X-ray in asymptomatic patients with late latent syphilis?". Int J STD AIDS. 22 (2): 105–6. doi:10.1258/ijsa.2010.010248. PMID 21427433.
  4. ↑ 4.0 4.1 Biro L, Hill AC, Kuflik EG (1968). "Secondary syphilis with unusual clinical and laboratory findings". JAMA. 206 (4): 889–91. PMID 4175712.
  5. ↑ 5.0 5.1 David G, Perpoint T, Boibieux A, Pialat JB, Salord H, Devouassoux M; et al. (2006). "Secondary pulmonary syphilis: report of a likely case and literature review". Clin Infect Dis. 42 (3): e11–5. doi:10.1086/499104. PMID 16392072.
  6. ↑ 6.0 6.1 Burger HG, Baker HW, Buckler HM, Healy DL, Kovacs GT (1988). "Advances in reproductive medicine: Australian contributions". Aust N Z J Med. 18 (3): 263–77. PMID PMC3056368 : PMC3056368 Check |pmid= value (help).
  7. ↑ 7.0 7.1 Coleman DL, McPhee SJ, Ross TF, Naughton JL (1983). "Secondary syphilis with pulmonary involvement". West J Med. 138 (6): 875–8. PMC 1010855. PMID 6613117.
  8. ↑ 8.0 8.1 Geer LL, Warshauer DM, Delany DJ (1985). "Pulmonary nodule in secondary syphilis". Australas Radiol. 29 (3): 240–2. PMID 4074225.
  9. ↑ Shore RN, Kiesel HA, Bennett HD (1977). "Osteolytic lesions in secondary syphilis". Arch Intern Med. 137 (10): 1465–7. PMID 921426.


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