Syphilis, the great Imitator—clinical and dermoscopic features of a rare presentation of secondary syphilis

Syphilis is characterized by a wide range of variable clinical symptoms; therefore, it is often referred to as "The Great Imitator". Here, we report the case of a 69-year-old hepatitis-C-positive MSM patient, who was admitted to our clinic due to a solitary firm painless erythematous maculopapular lesion with a central crater-like crust on the upper right thigh that occurred two months prior. The dermoscopy showed an erythematous, copper-colored, oval lesion with diffuse monomorphic dotted and glomerular vessels, central crust, and circular scaling (Biett's sign). The histological findings ruled out neoplasia and described a plasma cell infiltrate and endothelial swelling. Finally, the combination of the dermoscopic image, histological findings and the additionally acquired knowledge about the sexual history of the patient at the second visit led to the diagnosis, which was then confirmed with serological tests. Dermoscopy may become a supportive tool to facilitate the recognition of secondary syphilis; however, the reporting of these atypical cases is crucial to highlight the many faces of the disease so that clinicians consider syphilis as part of the differential diagnosis of non-specific lesions

Paleogeographic evolution of the Southern Pannonian Basin: 40Ar/39Ar age constraints on the Miocene continental series of notthern Croatia

The Pannonian Basin, originating during the Early Miocene, is a large extensional basin incorporated between Alpine, Carpathian and Dinaride fold-thrust belts. Back-arc extensional tectonics triggered deposition of up to 500-m-thick continental fluvio-lacustrine deposits distributed in numerous sub-basins of the Southern Pannonian Basin. Extensive andesitic and dacitic volcanism accompanied the syn-rift deposition and caused a number of pyroclastic intercalations. Here, we analyze two volcanic ash layers located at the base and top of the continental series. The lowermost ash from Mt. Kalnik yielded an 40Ar/39Ar age of 18.07 ± 0.07 Ma. This indicates that the marine-continental transition in the Slovenia-Zagorje Basin, coinciding with the onset of rifting tectonics in the Southern Pannonian Basin, occurs roughly at the Eggenburgian/ Ottnangian boundary of the regional Paratethys time scale. This age proves the synchronicity of initial rifting in the Southern Pannonian Basin with the beginning of sedimentation in the Dinaride Lake System. Beside geodynamic evolution, the two regions also share a biotic evolutionary history: both belong to the same ecoregion, which we designate here as the Illyrian Bioprovince. The youngest volcanic ash level is sampled at the Glina and Karlovac sub-depressions, and both sites yield the same 40Ar/39Ar age of 15.91 ± 0.06 and 16.03 ± 0.06 Ma, respectively. This indicates that lacustrine sedimentation in the Southern Pannonian Basin continued at least until the earliest Badenian. The present results provide not only important bench marks on duration of initial synrift in the Pannonian Basin System, but also deliver substantial backbone data for paleogeographic reconstructions in Central and Southeastern Europe around the Early–Middle Miocene transition

A revision of the genus Europicardium

The cardiid genus Europicardium Popov, 1977 was introduced for a small group of Cenozoic species from Europe, but remained almost unknown in the western literature until about 15 years ago, and its type species, Cardium multicostatum Brocchi, 1814, continued to be cited mainly as Trachycardium multicostatum. Many records are available for this species from the Miocene of Europe, but most are based on several distinct, often misidentified species. In the present revision, based on museum material, the taxonomy of Europicardium is discussed and the identity of its type species is fixed. Seven species are assigned to Europicardium: E. multicostatum (Brocchi, 1814), E. miorotundatum (Sacco, 1899) (lectotype designated), E. miocaudatum (Sacco, 1899), E. polycolpatum (Cossmann & Peyrot, 1912), E. pseudomulticostatum (Zhizhchenko, 1934), E. badeniense (Kokay, 1996) and E. hoernesi sp. nov. from the middle Miocene of Austria. However, literature records and museum material suggest the occurrence of additional species and the need for further investigation. The oldest record of Europicardium is from the early Miocene of the Aquitaine Basin, from where the genus likely spread into the Mediterranean and throughout the Paratethys. Europicardium reached a maximum diversity in the early middle Miocene (Badenian) of the Paratethys, probably in relation to the Miocene Climatic Optimum, and also with the complex and variable palaeogeography of the Paratethys, which promoted differentiation and diversity. Europicardium disappeared from the Paratethys when it became a freshwater basin in the late Miocene, and from the Mediterranean due to the Messinian Salinity Crisis. The last European species was E. multicostatum, which arrived in the Mediterranean from the adjacent Atlantic with the post-Messinian recolonization, and became extinct in the Pleistocene due to climatic deterioration. At the present day, Europicardium occurs in the tropical waters of West Africa, with three specie

Palaeobiogeography and Evolutionary Patterns of the Larger Foraminifer \u3cem\u3eBorelis\u3c/em\u3e de Montfort (Borelidae)

The palaeobiogeography of the alveolinoid Borelis species reveals the evolutionary patterns leading to the two extant representatives, which occur in shallow‐water tropical carbonate, coral reef‐related settings. Type material and new material of fossil Borelis species, along with Recent specimens were studied to assess their taxonomic status, species circumscriptions (based on proloculus size, occurrence of Y‐shaped septula, and the index of elongation), palaeobiogeography and evolutionary dynamics. The species dealt with here are known from exclusively fossil (B. pygmaea, B. inflata, B. philippinensis, B. melo, B. curdica), and from fossil and modern (B. pulchra, B. schlumbergeri) specimens. For the first time, fossil and Recent Borelis specimens are illustrated via micro‐computed tomography scanning images. Depending on the occurrence of Y‐shaped septula, two lineages are distinguished. Deriving from the middle–upper Eocene Borelis vonderschmitti, the first lineage includes B. inflata, B. pulchra and B. pygmaea, lacking Y‐shaped septula. The first species bearing Y‐shaped septula is the Rupelian B. philippinensis of the western Indo‐Pacific. The westward migrants of B. philippinensis into the Mediterranean gave rise to B. melo (Aquitanian–Messinian) and B. curdica (Burdigalian–Tortonian). These two species became isolated from the Indo‐Pacific by the Langhian eastern closure of the Mediterranean basin and disappeared during the Messinian Salinity Crisis. Since the Tortonian, B. schlumbergeri, which descended from B. philippinensis, has inhabited the Indo‐Pacific along with B. pulchra. From the central Pacific Ocean, B. pulchra reached the Caribbean area before the early Piacenzian closure of the Central America seaway