Dorsal tabs - Altmeyers Encyclopedia - Department Dermatology

Synonym(s)

Spinal cord tuberculosis

Definition
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Rare neurological disease belonging to the tertiary stage of syphilis with treponemic inflammation of the posterior spinal cord roots and secondary or primary centripetal degeneration of the posterior strands. Generally lumbar, rarely also cervical or thoracic beginning.

Manifestation
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Occurs 4-30 years after initial infection, also as late stage of syphilis connata.

Clinic
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Skin changes: Malum perforans, pigmentary changes, sugillations, pruritus attacks.
Extracutaneous manifestations: Lancing pain, possibly localized loss of pain sensation. Feeling of belt-like constriction. Lack of patellar and Achilles tendon reflex, spinal ataxia, reflex pupil rigidity, bladder dysfunction, Charcot arthropathy.