Vinay Naresh Mistry on Muck Rack

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An atypical, non-healing perioral lesion

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By Deborah Kirkham, Vinay Naresh Mistry, Facial Specialties, Mohamed Imran Suida
| bmj.com
Primary syphilis should be considered alongside herpes simplex labialis if the symptoms do not resolve in 10-14 days.1 Association with other red flags such as induration, bleeding, and concurrent cervical lymphadenopathy should prompt fast track referral to the local head and neck oncology clinic. Malaise is a common feature of syphilis that would not normally be seen at an early stage of squamous cell carcinoma. Cases of syphilis have risen dramatically in recent years.
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