Abstract
Lesions of secondary syphilis were found in the right tonsil and on the palatoglossal arch. The pharyngeal mucous membrane and tonsil exhibited severe erosion with white-gray coating. Several Treponema pallida were seen in smears of the tonsillar exudate. Serological tests revealed high VDRL and TPHA titers. Histological examination showed severe inflammation with many lymphocytes and plasma cells, and thickened vascular endothelium. We also describe the present program of surveillance of sexually transmitted diseases in Japan and emphasize that ENT-physicians should be more aware of them in patients with otorhinolaryngological symptoms and signs.
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