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    Prevalence of syphilis and HIV infection during pregnancy in incarcerated women and the incidence of congenital syphilis in births in prison in Brazil.
    Cad Saude Publica 2017 Nov 21;33(11):e00183616. Epub 2017 Nov 21.
    Sorbonne Universités, UPMC Univ Paris 06, INSERM, IPLESP UMRS 1132, F75012 Paris, France.
    This study aimed to estimate the prevalence of syphilis and HIV infection during pregnancy, the mother to child transmission of syphilis and the incidence of congenital syphilis in incarcerated women in Brazil; to compare these rates to those observed in pregnant women outside of jail; and to verify the maternal factors associated with syphilis infection during pregnancy in free and incarcerated women. We used data from two nationwide studies conducted during the period 2011-2014. The Birth in Brazil study included 23,894 free women cared for in 266 hospitals. Read More

    Factors associated with self-reported discrimination against men who have sex with men in Brazil.
    Rev Saude Publica 2017 17;51:102. Epub 2017 Nov 17.
    Universidade Federal do Ceará. Departamento de Saúde Comunitária. Fortaleza, CE, Brasil.
    Objective: To estimate self-reported discrimination due to sexual orientation among men who have sex with men (MSM) in Brazil and to analyze associated factors.

    Methods: A cross-sectional study of 3,859 MSM recruited in 2008-2009 with respondent driven sampling. Data collection conducted in health centers in 10 Brazilian cities. Read More

    Quality of antenatal care service provision in health facilities across sub-Saharan Africa: Evidence from nationally representative health facility assessments.
    J Glob Health 2017 Dec;7(2):021101
    Institute for International Programs, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
    Background: Utilization of antenatal care (ANC) services has increased over the past two decades. Continued gains in maternal and newborn health will require an understanding of both access and quality of ANC services. We linked health facility and household survey data to examine the quality of service provision for five ANC interventions across health facilities in sub-Saharan Africa. Read More

    Prevalence and clinical profile of microcephaly in South America pre-Zika, 2005-14: prevalence and case-control study.
    BMJ 2017 Nov 21;359:j5018. Epub 2017 Nov 21.
    National Institute of Population Medical Genetics (INAGEMP), Porto Alegre, Brazil.
    Objective To describe the prevalence and clinical spectrum of microcephaly in South America for the period 2005-14, before the start of the Zika epidemic in 2015, as a baseline for future surveillance as the Zika epidemic spreads and as other infectious causes may emerge in future.Design Prevalence and case-control study.Data sources ECLAMC (Latin American Collaborative Study of Congenital Malformations) database derived from 107 hospitals in 10 South American countries, 2005 to 2014. Read More

    Availability of essential medicines in primary health care of the Brazilian Unified Health System.
    Rev Saude Publica 2017 Nov 13;51(suppl 2):10s. Epub 2017 Nov 13.
    Departamento de Farmácia Social. Faculdade de Farmácia. Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil.
    Objective: To characterize the availability of tracer medicines in pharmaceutical services in primary health care of the Brazilian Unified Health System (SUS).

    Methods: This is a cross-sectional and evaluative study, part of the Pesquisa Nacional Sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos - Serviços, 2015 (PNAUM - National Survey on Access, Use and Promotion of Rational Use of Medicines - Services, 2015). To analyze the availability of medicines, we verified 50 items selected from the Relação Nacional de Medicamentos Essenciais (Rename - National List of Essential Medicines) of 2012. Read More

    [Polymorphic and itchy rash in a 21-year-old woman].
    Internist (Berl) 2017 Nov 20. Epub 2017 Nov 20.
    Klinik für Hautkrankheiten, Universitätsklinikum Jena, Erfurter Str. 35, 07743, Jena, Deutschland.
    Pityriasis lichenoides et varioliformis acuta (PLEVA) is a common inflammatory disease which usually occurs in children and young adults. Characteristic is a polymorph clinical picture with papules, erosions, ulcers and haemorrhagic crusts compatible with many differential diagnoses. We report about a patient with PLEVA and describe possible differential diagnoses. Read More

    High Burden of HIV, Syphilis and HSV-2 and Factors Associated with HIV Infection Among Female Sex Workers in Tanzania: Implications for Early Treatment of HIV and Pre-exposure Prophylaxis (PrEP).
    AIDS Behav 2017 Nov 20. Epub 2017 Nov 20.
    Bureau of HIV/AIDS Prevention and Control, New York City Department of Health and Mental Hygiene, 42-09 28th St., New York, NY, 11101, USA.
    This paper estimates population-based prevalence of HIV, syphilis, HSV-2 and factors influencing HIV infection using a national sample of 1914 female sex workers (FSWs) in 7 regions in Tanzania. Additionally, HIV incidence was estimated by comparing biological HIV results with self-reported HIV status. The average HIV prevalence among FSWs in all 7 regions was 28%, ranging from 14% in Tabora to 38% in Shinyanga. Read More

    Association between false-positive TORCH and antiphospholipid antibodies in healthy pregnant women.
    Lupus 2017 Jan 1:961203317741564. Epub 2017 Jan 1.
    1 Department of Obstetrics, Gynaecology and Pediatrics, Catholic University of Sacred Heart, Rome, Italy.
    The present study investigated: (a) the presence of antiphospholipid antibodies and (b) the obstetric outcome in healthy pregnant women showing false-positive TORCH-Toxoplasmosis, Other: syphilis, varicella-zoster, Rubella, Cytomegalovirus (CMV), and Herpes infections-results. Data from 23 singleton healthy pregnancies with false-positive TORCH results were collected. Each woman was systematically screened for TORCH IgG and IgM during the pre-conception assessment and/or at the beginning of pregnancy. Read More

    High Substance Use and HIV Risk Behavior Among Young Argentine Men Who Have Sex with Men.
    AIDS Behav 2017 Nov 18. Epub 2017 Nov 18.
    Instituto de Investigaciones Biomédicas en Retrovirus y SIDA (INBIRS), Universidad de Buenos Aires-CONICET, Buenos Aires, Argentina.
    In the United States young men who have sex with men have higher rates of substance use, higher HIV incidence, and less frequent HIV testing than their heterosexual counterparts and older MSM. Less is known about comparable populations in Latin America. As part of an epidemiological study, MSM were recruited through Respondent Driven Sampling in the metropolitan area of Buenos Aires, Argentina and answered a computerized behavioral survey. Read More

    Laboratory Testing of a Cohort of Commercially Insured Users of HIV Preexposure Prophylaxis in the United States, 2011-2015.
    J Infect Dis 2017 Nov 14. Epub 2017 Nov 14.
    Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA.
    To ensure the health and safety of persons taking antiretroviral medication for HIV preexposure prophylaxis (PrEP), CDC guidelines recommend initial and follow-up laboratory testing. We assessed the rates of recommended testing using a commercial insurance claims database. Before taking PrEP, 45% of users were tested for HIV, 31% for creatinine, 55% for syphilis, 43% for chlamydia/gonorrhea, and 38% for hepatitis B. Read More

    Modelling stillbirth mortality reduction with the Lives Saved Tool.
    BMC Public Health 2017 Nov 7;17(Suppl 4):784. Epub 2017 Nov 7.
    Centre for Global Child Health, Hospital for Sick Children, Toronto, ON, M5G 0A4, Canada.
    Background: The worldwide burden of stillbirths is large, with an estimated 2.6 million babies stillborn in 2015 including 1.3 million dying during labour. Read More

    Linking household surveys and health facility assessments to estimate intervention coverage for the Lives Saved Tool (LiST).
    BMC Public Health 2017 Nov 7;17(Suppl 4):780. Epub 2017 Nov 7.
    Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, 21205, USA.
    Background: Calls have been made for improved measurement of coverage for maternal, newborn and child health interventions. Recently, methods linking household and health facility surveys have been used to improve estimation of intervention coverage. However, linking methods rely the availability of household and health facility surveys which are temporally matched. Read More

    Laboratory Screening for Children Entering Foster Care.
    Pediatrics 2017 Nov 15. Epub 2017 Nov 15.
    Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
    Objectives: To determine the prevalence of medical illness detected by laboratory screening in children entering foster care in a single, urban county.

    Methods: All children entering foster care in a single county in Ohio were seen at a consultation foster care clinic and had laboratory screening, including testing for infectious diseases such as HIV, hepatitis B, hepatitis C, syphilis, and tuberculosis as well as for hemoglobin and lead levels.

    Results: Over a 3-year period (2012-2015), laboratory screening was performed on 1977 subjects entering foster care in a consultative foster care clinic. Read More

    Hiv Prevalence and Associated Risk Factors Among Men Who Have Sex With Men in Dar Es Salaam, Tanzania.
    J Acquir Immune Defic Syndr 2017 Nov 13. Epub 2017 Nov 13.
    *Department of Epidemiology and Biostatistics, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania. †Department of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, Norway ‡Department of Behavioural Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
    Introduction: Limited studies and differential risk behaviours among men who have sex with men(MSM) in Africa calls for population specific studies. We present results from the largest integrated bio-behavioural survey among MSM in Africa to inform programming.

    Methods: This was a cross-sectional study utilizing respondent driven sampling to recruit MSM aged 18 and above. Read More

    Syphilis and HIV infections among pregnant women attending antenatal clinics in Republic of Congo.
    Pan Afr Med J 2017 7;28. Epub 2017 Sep 7.
    Laboratoire National de Santé Publique, 120 avenue du Général Charles de Gaule, BP: 120 Brazzaville, Congo.
    Introduction: HIV and syphilis during pregnancy remain a public health concern especially in developing countries. Pregnant women attending antenatal clinics sites for the first time between September and December 2011 and who accepted to participate in the study were enrolled. The objective was to estimate the syphilis and HIV infection rate in this population. Read More

    Trends and predictors of syphilis prevalence in the general population: Global pooled analyses of 1103 prevalence measures including 136 million syphilis tests.
    Clin Infect Dis 2017 Nov 9. Epub 2017 Nov 9.
    Infectious Disease Epidemiology Group, Weill Cornell Medicine - Qatar, Cornell University, Doha, Qatar.
    Background: This study assessed levels, trends, and associations of observed syphilis prevalence in the general adult population using global pooled analyses.

    Methods: A standardized database of syphilis prevalence was compiled by pooling systematically-gathered data. Random-effects meta-analyses and meta-regressions were conducted using data from 1990-2016 to estimate pooled measures and assess predictors and trends. Read More

    Syphilis of the Aerodigestive Tract.
    Am J Surg Pathol 2017 Nov 9. Epub 2017 Nov 9.
    *Department of Pathology and Laboratory Medicine, Tufts Medical Center ‡Department of Pathology, Massachusetts General Hospital, Boston, MA †Department of Pathology, University of Michigan, Ann Arbor, MI §Department of Pathology, Washington University St Louis Medical Center, St Louis, MO.
    Syphilis, a sexually transmitted infection caused by the Gram-negative bacterium Treponema pallidum, is increasing in prevalence in the United States. It has been our experience that primary and secondary syphilis of the aerodigestive tract can afflict a large age spectrum with varied clinical and histopathologic findings, which can lead to diagnostic problems and frequent misdiagnosis. In this study, we describe the histopathologic patterns of syphilis of the aerodigestive tract to expand awareness of its varied appearance. Read More

    Incidence of asymptomatic neurosyphilis in serofast Chinese syphilis patients.
    Sci Rep 2017 Nov 13;7(1):15456. Epub 2017 Nov 13.
    Peking University Ditan Teaching Hospital, Beijing, China.
    More new diagnosed syphilis cases were reported in china, the incidence and relevant factors of asymptomatic neurosyphilis (ANS) in serofast syphilis patients were unclear. Clinical and laboratory data of 402 Human Immunodeficiency Virus (HIV) negative, serofast syphilis patients, who underwent lumbar puncture at the Peking University Ditan Teaching Hospital between September 2008 and August 2016, were collected. Incidence of ANS was verified and the relevant factors were further analyzed. Read More

    Microbial Diversity of Genital Ulcers of HSV-2 Seropositive Women.
    Sci Rep 2017 Nov 13;7(1):15475. Epub 2017 Nov 13.
    Division of Epidemiology & Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA.
    We measured the microbial community structure of genital ulcers in women. Swabs from clinically detected ulcers were tested for HSV-2 and Treponema pallidum by polymerase chain reaction (PCR). HSV-2 and T. Read More

    Comparison of seropositivity of human immunodeficiency virus, hepatitis B virus, hepatitis C virus, and syphilis among Hospital Cornea Retrieval Programme-Donors versus voluntary cornea donors at a large eye bank in Eastern India.
    Indian J Ophthalmol 2017 Nov;65(11):1138-1142
    Department of Cornea and Eye Bank Services, Disha Eye Hospitals, Kolkata, West Bengal, India.
    Purpose: To compare the serology profile of donors from Hospital Cornea Retrieval Programme-donors (HCRP-D) and voluntary cornea donors (VC-D) from a large eye bank in Eastern India.

    Methods: This is a retrospective analysis of donor details from January 2011 to December 2016. Donor demographics, cause of death, and serology reports were compiled. Read More

    HIV and other STIs in male sex workers: Findings from a sexual health promotion intervention in Vietnam.
    Int J STD AIDS 2017 Jan 1:956462417740291. Epub 2017 Jan 1.
    1 Meyers College of Nursing, New York University, New York, USA.
    Male sex workers (MSWs) in Vietnam are at high risk for acquisition and transmission of human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs), yet are extremely disengaged from the healthcare system. This contributes to large numbers of untreated or late-treated infections and increased secondary transmission. We enrolled 995 MSWs in Hanoi and Ho Chi Minh City (HCMC) in a Sexual Health Promotion intervention that included face-to-face delivery of seven content modules, a clinical examination and testing for HIV, syphilis, gonorrhea and Chlamydia. Read More

    A proanthocyanidin-rich extract from Cassia abbreviata exhibits antioxidant and hepatoprotective activities in vivo.
    J Ethnopharmacol 2017 Nov 7;213:38-47. Epub 2017 Nov 7.
    Institute of Pharmacy and Molecular Biotechnology, Heidelberg University, Im Neuenheimer Feld 364, 69120 Heidelberg, Germany. Electronic address:
    Ethnopharmacological Relevance: Cassia abbreviata is a small to medium sized branched umbrella-shaped deciduous tree. It is widely spread in the tropics, especially in Africa, having a long history in traditional medicine for the treatment of numerous conditions such as headaches, diarrhea, constipation, some skin diseases, malaria, syphilis, pneumonia, stomach troubles, uterine pains, and against gonorrhea.

    Aim Of The Study: We investigated the phytochemical constituents of a root extract from Cassia abbreviata using HPLC-PDA-ESI-MS/MS. Read More

    [Uveitis: Diagnostic work-up. Recommendations from an expert committee].
    Rev Med Interne 2017 Nov 6. Epub 2017 Nov 6.
    Service d'ophtalmologie, hôpital de la Croix-Rousse, hospices civils de Lyon, 103, grande rue de la Croix-Rousse, 69317 Lyon cedex 04, France.
    Introduction: Diagnostic work-up of uveitis involves many uncertainties. Search for an etiology should take into account the epidemiology of uveitis and focus on the most severe diseases or those, which can be treated. This work was undertaken to establish recommendations for the diagnosis work-up of uveitis. Read More

    Patterns of Uveitis at Two University-Based Referral Centres in Cape Town, South Africa.
    Ocul Immunol Inflamm 2017 Nov 9:1-7. Epub 2017 Nov 9.
    d Centre for Evidence Based Health Care , Department of Global Health, University of Stellenbosch , Cape Town , South Africa.
    Purpose: To analyze the pattern of uveitis at two tertiary hospitals in South Africa which has a high prevalence of HIV, TB and syphilis.

    Methods: Data of 198 patients were obtained retrospectively between August 2014 and August 2016, including patient demographics, clinical examination, special investigations and final diagnosis.

    Results: Infectious uveitis was the most common aetiological category (47%), followed by idiopathic (34. Read More

    Biological False Positive Venereal Disease Research Laboratory Test in Cerebrospinal Fluid in the Diagnosis of Neurosyphilis - A Case-Control Study.
    J Eur Acad Dermatol Venereol 2017 Nov 8. Epub 2017 Nov 8.
    Department of Microbiology, Singapore General Hospital, Singapore.
    Background: There is no clear consensus on the diagnosis of neurosyphilis. The Venereal Disease Research Laboratory (VDRL) test from cerebrospinal fluid (CSF) has traditionally been considered the gold standard for diagnosing neurosyphilis, but is widely known to be insensitive.

    Objective: In this study, we compared the clinical and laboratory characteristics of true positive VDRL-CSF cases with biological false positive VDRL-CSF cases. Read More

    Secondary syphilis presenting as leucoderma syphiliticum: case report and review.
    Rev Inst Med Trop Sao Paulo 2017 Nov 6;59:e74. Epub 2017 Nov 6.
    Universidade Federal do Estado do Rio de Janeiro, Hospital Universitário Gaffrée e Guinle, Centro de Ciências Biológicas e da Saúde, Rio de Janeiro, Rio de Janeiro, Brazil.
    Leucoderma syphiliticum (LS), originally described as syphilide pigmentaire, encompasses a spectrum of dyschromic lesions that emerge during the course of secondary syphilis. Very few case reports are available in modern biomedical databases. We present the case of a 57-year-old HIV-infected male patient who presented with several round to oval, non-scaling, slightly raised and well-demarcated hypochromic lesions scattered over the trunk, abdomen, dorsum, and arms. Read More

    PRENACEL - a mHealth messaging system to complement antenatal care: a cluster randomized trial.
    Reprod Health 2017 Nov 7;14(1):146. Epub 2017 Nov 7.
    Department of Social Medicine, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto, Brazil.
    Background: The aim of this study was to determine whether PRENACEL (a bi-directional, mobile-phone based, short text message service (SMS)) increases the coverage of recommended antenatal care (ANC) practices.

    Methods: A parallel, cluster-randomized trial in which 20 public primary Health Care Units (PHCUs) were randomly allocated to the intervention (10 PHCUs) or control (10 PHCUs) group. The study population included pregnant women aged 18 or above with a gestational age of 20 weeks or less. Read More

    Network Viral Load: A Critical Metric For Hiv Elimination.
    J Acquir Immune Defic Syndr 2017 Nov 2. Epub 2017 Nov 2.
    1University of Chicago, Department of Public Health Sciences, Chicago, IL 2University of Chicago, Department of Medicine, Chicago, IL 3National Development and Research Institutes, New York, NY.
    Background: Associations have been observed between an aggregate viral load measure, the community viral load (CVL) and new HIV diagnoses. The CVL aggregates viral loads within chosen geographic areas, restricting inferences about HIV acquisition risk to these areas. We develop a more precise metric, the Network Viral Load (NVL) to measure the composite viral load within a risk network of an HIV negative individual. Read More

    [The Hessian Landgrave Philipp the Magnanimous (1504-1567) : His diseases and their political consequences].
    Urologe A 2017 Nov 6. Epub 2017 Nov 6.
    Arbeitsstelle für Geschichte der Medizin, Philipps-Universität Marburg, Bahnhofstr. 7, 35032, Marburg, Deutschland.
    Landgrave Philipp of Hesse was one of the leading figures of the reformation period. His morganatic marriage to a young Saxonian lady resulted in a massive impairment of his importance and initiated the division of his territory among his four legitimate sons. Triorchidism ascribed to him was more likely a misdiagnosed spermatozele, and also, there is no reliable account for his syphilis infection. Read More

    Evidence of accessibility and utility of point-of-care diagnostics as an integral part of prevention of mother-to-child transmission services: systematic scoping review protocol.
    BMJ Open 2017 Nov 4;7(11):e017884. Epub 2017 Nov 4.
    Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.
    Introduction: Point-of-care (POC) testing has been shown to help improve healthcare access in resource-limited settings. However, there is paucity of evidence on accessibility of POC testing for prevention of mother-to-child transmission (PMTCT) in resource-limited settings. We propose to conduct a systematic scoping review to map the evidence on POC testing services for PMTCT. Read More

    Presence of dental signs of congenital syphilis in pre-modern specimens.
    Arch Oral Biol 2017 Oct 20;85:192-200. Epub 2017 Oct 20.
    Biological Anthropology and Comparative Anatomy Research Unit, The University of Adelaide, Adelaide Medical School,Frome Road, Adelaide, 5005, South Australia, Australia; Institute of Evolutionary Medicine, University of Zurich, Switzerland.
    Objective: Tooth morphology can vary due to genetic factors, infectious diseases and other environmental stresses. Congenital syphilis is known to interrupt tooth formation i.e. Read More

    Assessing Zika virus replication and the development of Zika-specific antibodies after a mid-gestation viral challenge in guinea pigs.
    PLoS One 2017 3;12(11):e0187720. Epub 2017 Nov 3.
    Division of Pediatric Infectious Disease and Immunology, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota, United States of America.
    Primary Zika virus (ZIKV) infections that occur during pregnancy can cause spontaneous abortion and profoundly disrupt fetal development. While the full range of developmental abnormalities associated with congenital Zika syndrome is not yet known, severe cases of the syndrome can present with microcephaly, extensive neurologic and ocular damage, and pronounced joint malformations. Animal models that accurately recapitulate congenital Zika syndrome are urgently needed for vaccine development and for the study of ZIKV pathogenesis. Read More

    Rare isolated oral manifestations of secondary syphilis in an adolescent.
    Gen Dent 2017 Nov-Dec;65(6):76-78
    Syphilis is a sexually transmitted infection caused by Treponema pallidum. The disease can manifest clinically through 3 different stages: primary, secondary, and tertiary. This report describes an uncommon case of secondary syphilis in a 16-year-old boy who showed only oral clinical manifestations. Read More

    Chemical composition and insecticidal activity of the essential oil from Helichrysum faradifani endemic to Madagascar.
    Nat Prod Res 2017 Nov 3:1-9. Epub 2017 Nov 3.
    f School of Pharmacy , University of Camerino , Camerino , Italy.
    Helichrysum faradifani (Asteraceae) is a perennial shrub growing in rocky and sandy places of Madagascar. The plant is used in the Malagasy traditional medicine as a wound-healing agent, disinfectant and for the treatment of syphilis, diarrhea, cough and headache. In the present work, we analysed the chemical composition of the essential oil distilled from the aerial parts of H. Read More

    Cross-sectional study of Treponema pallidum PCR in diagnosis of primary and secondary syphilis.
    Int J Dermatol 2017 Oct 31. Epub 2017 Oct 31.
    Dermatovenereology Department, Centro Hospitalar de São João, EPE, Porto, Portugal.
    Background: Syphilis remains a major challenge and a complex diagnosis. We aim to evaluate the role of polymerase chain reaction (PCR) in Treponema pallidum (Tp) detection in various types of biological samples in the diagnosis of early syphilis.

    Methods: We conducted a cross-sectional study including all attendees of the STI clinic with clinical suspicion of early syphilis. Read More

    Orofacial Involuntary Movements in Neurosyphilis: Beyond the Candy Sign.
    Tremor Other Hyperkinet Mov (N Y) 2017 5;7:507. Epub 2017 Oct 5.
    Department of Neurology, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore-560029, Karnataka, India.
    Background: Involvement of the central nervous system in patients with syphilis (neurosyphilis) may result in several neuropsychiatric symptoms. Rarely, patients with neurosyphillis may develop movement disorders with different phenomenology. Subtle orofacial dyskinesias have been reported in patients with neurosyphilis, known as the candy sign. Read More

    Presence of multiple genotypes in subjects with HPV-16 infection is highly associated with anal squamous intraepithelial lesions in HIV-1 infected males.
    PLoS One 2017 31;12(10):e0186367. Epub 2017 Oct 31.
    Infectious Diseases Department, San Raffaele Scientific Institute, Milan, Italy.
    Objectives: The aim of the study was to determine the prevalence of abnormal cytological findings, high risk (HR)-HPV genotypes and to identify factors associated with an abnormal cytological findings in a cohort of HIV-infected males.

    Patients And Methods: Retrospective observational study on HIV-infected male patients who performed screening in the absence of clinical symptoms. Cytological abnormalities were classified as atypical squamous cells of undetermined significance (ASC-US), low-grade(LSIL) or high high-grade squamous intraepithelial lesion (HSIL). Read More

    Syphilitic alopecia: uncommon trichoscopic findings.
    Dermatol Pract Concept 2017 Jul 31;7(3):55-59. Epub 2017 Jul 31.
    Dermatology Unit, Department of Medical, Surgical and Neuro Sciences, University of Siena, Siena, Italy.
    Syphilitic alopecia (SA) is considered an uncommon manifestation of secondary syphilis. SA can present in a diffuse form, resembling telogen effluvium, or in a moth-eaten form that mimics a variety of conditions (i.e. Read More

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