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Editorial
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Volume 331:1516-1517 December 1, 1994 Number 22
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Neurosyphilis in HIV-Infected Persons

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At the beginning of this century, while he was developing schedules for the treatment of syphilis with arsphenamine, Ehrlich discovered that inadequate therapy for early syphilis was followed within 6 to 12 months by the appearance of neurologic disease that he called neurorecurrence.1 This early neurosyphilis was unlike typical tertiary neurosyphilis, which develops after a much longer period of latency, in that it involved mesodermal rather than ectodermal tissues and, consequently, was characterized by acute meningitis, cranial-nerve abnormalities, or stroke rather than by dementia, psychosis, or tabes dorsalis. In the 1930s Merritt and his coworkers1 observed only 80 patients with . . . [Full Text of this Article]

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