Plaques en prairie fauchée

Eric Farfour; David Zucman

doi:10.1016/j.idcr.2021.e01080

Plaques en prairie fauchée

IDCases. 2021 Mar 23:24:e01080. doi: 10.1016/j.idcr.2021.e01080. eCollection 2021.

Authors

Eric Farfour¹, David Zucman²

Affiliations

¹ Service de biologie Clinique, Hôpital Foch, 40 rue Worth, 92150, Suresnes, France.
² Service de médecine interne, Hôpital Foch, Suresnes, France.

Abstract

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.

Keywords: AIDS; HIV; Mowed meadow; Plaque en prairie fauchée; Rash; Syphilis.