| © 2001-2009, DermAtlas | Image Name: | syphilis_1_031123 | File Type: | jpg | |
| Diagnosis: | SYPHILIS, SECONDARY / SYPHILIS, TREPONEMA PALLIDUM | Category: | infections and infestations / papulosquamous eruptions | ||
| Body Site: | palate, hard / hand | Age: | 30 years | ||
| Contributor: | Li Zonghzhu | ||||
| Description: | symmetric violaceous annular papaules and plaques with minimal central scale | ||||
| Comments: | A 30-–year-old man infected with syphilis developed a chancre on the glans penis followed by swelling of the inguinal lymph nodes. The chancre resolved after 10 days, and symmetric round and annular 1 cm violaceous plaques with central scale appeared 5 months later on the palms and soles typical of secondary syphilis. Two months later he developed firm eroded plaqueson the inner aspect of the lips and gingiva. Treponema pallidum was identified from the oral lesions by polymerase chain reaction. A few months later his daughter was evaluated for a primary lesion on her lip. | ||||
| Related Images: | All related Images syphilis_3_031123 syphilis_2_031123 | ||||
| © 2001-2009, DermAtlas | Image Name: | syphilis_2_031123 | File Type: | jpg | |
| Diagnosis: | SYPHILIS, SECONDARY / SYPHILIS, TREPONEMA PALLIDUM | Category: | infections and infestations / papulosquamous eruptions | ||
| Body Site: | palate, hard / hand | Age: | 30 years | ||
| Contributor: | Li Zonghzhu | ||||
| Description: | firm eroded red plaques | ||||
| Comments: | A 30-–year-old man infected with syphilis developed a chancre on the glans penis followed by swelling of the inguinal lymph nodes. The chancre resolved after 10 days, and symmetric round and annular 1 cm violaceous plaques with central scale appeared 5 months later on the palms and soles typical of secondary syphilis. Two months later he developed firm eroded plaqueson the inner aspect of the lips and gingiva. Treponema pallidum was identified from the oral lesions by polymerase chain reaction. A few months later his daughter was evaluated for a primary lesion on her lip. | ||||
| Related Images: | All related Images syphilis_3_031123 syphilis_1_031123 | ||||
| © 2001-2009, DermAtlas | Image Name: | syphilis_3_031123 | File Type: | jpg | |
| Diagnosis: | SYPHILIS, SECONDARY / SYPHILIS, TREPONEMA PALLIDUM | Category: | infections and infestations / papulosquamous eruptions | ||
| Body Site: | palate, hard / hand | Age: | 30 years | ||
| Contributor: | Li Zonghzhu | ||||
| Description: | crusty papule | ||||
| Comments: | A 30-–year-old man infected with syphilis developed a chancre on the glans penis followed by swelling of the inguinal lymph nodes. The chancre resolved after 10 days, and symmetric round and annular 1 cm violaceous plaques with central scale appeared 5 months later on the palms and soles typical of secondary syphilis. Two months later he developed firm eroded plaqueson the inner aspect of the lips and gingiva. Treponema pallidum was identified from the oral lesions by polymerase chain reaction. A few months later his daughter was evaluated for a primary lesion on her lip. | ||||
| Related Images: | All related Images syphilis_2_031123 syphilis_1_031123 | ||||
| © 2001-2009, DermAtlas | Image Name: | condyloma_latum_1_030428 | File Type: | jpg | |
| Diagnosis: | SYPHILIS, TREPONEMA PALLIDUM | Category: | infections and infestations / papulosquamous eruptions | ||
| Body Site: | perianal | Age: | 42 years | ||
| Contributor: | Agil Balkhi, MD | ||||
| Description: | multiple 0.3-0.8 cm flat topped rough surfaced papules | ||||
| Comments: | This 42-year-old man presented with multiple eroded warty papules around the anus associated with fever and generalized adenopathy. The lesions cleared with high dose intramuscular penecillin therapy. | ||||
| © 2001-2009, DermAtlas | Image Name: | syphilis_4_030131 | File Type: | jpg | |
| Diagnosis: | SYPHILIS, TREPONEMA PALLIDUM / SYPHILIS, SECONDARY | Category: | cutaneous sign of systemic disease / infections and infestations / papulosquamous eruptions | ||
| Body Site: | foot / sole | Age: | 13 years | ||
| Contributor: | Raja Mouallem, MD | ||||
| Description: | symmetric hyperpigmented scaly minimally elevated papules and plaques | ||||
| Comments: | This 13-year-old girl was evaluated for a rash of 3 weeks duration on her face, hands, and feet. She also had smooth topped hyperpigmented papules on the labia majora. Other than the skin rash her physical examination was normal. Screening for sexually transmitted diseases revealed posite HIV titers; a positive RPR with a titer of 1/128, a reactive Treponema pallidum microhemagglutination assay, a positive Human immunodeficiency test, and positive pregnancy test. This patient demonstrates the importance of screening for multiple sexually transmitted diseases in this setting. | ||||
| Related Images: | All related Images syphilis_1_030131 syphilis_2_030131 syphilis_3_030131 | ||||
| © 2001-2009, DermAtlas | Image Name: | syphilis_3_030131 | File Type: | jpg | |
| Diagnosis: | SYPHILIS, TREPONEMA PALLIDUM / SYPHILIS, SECONDARY | Category: | cutaneous sign of systemic disease / infections and infestations / papulosquamous eruptions | ||
| Body Site: | arm | Age: | 13 years | ||
| Contributor: | Raja Mouallem, MD | ||||
| Description: | symmetric hyperpigmented scaly minimally elevated papules and plaques | ||||
| Comments: | This 13-year-old girl was evaluated for a rashof 3 weeks duration on her face, hands, and feet. She also had smooth topped hyperpigmented papules on the labia majora. Other than the skin rash her physical examination was normal. Screening for sexually transmitted diseases revealed posite HIV titers; a positive RPR with a titer of 1/128, a reactive Treponema pallidum microhemagglutination assay, a positive Human immunodeficiency test, and positive pregnancy test. This patient demonstrates the importance of screening for multiple sexually transmitted diseases in this setting. | ||||
| Related Images: | All related Images syphilis_1_030131 syphilis_2_030131 syphilis_4_030131 | ||||
| © 2001-2009, DermAtlas | Image Name: | syphilis_2_030131 | File Type: | jpg | |
| Diagnosis: | SYPHILIS, TREPONEMA PALLIDUM / SYPHILIS, SECONDARY | Category: | cutaneous sign of systemic disease / infections and infestations / papulosquamous eruptions | ||
| Body Site: | hand / face | Age: | 13 years | ||
| Contributor: | Raja Mouallem, MD | ||||
| Description: | symmetric hyperpigmented scaly minimally elevated papules and plaques | ||||
| Comments: | This 13-year-old girl was evaluated for a rashof 3 weeks duration on her face, hands, and feet. She also had smooth topped hyperpigmented papules on the labia majora. Other than the skin rash her physical examination was normal. Screening for sexually transmitted diseases revealed posite HIV titers; a positive RPR with a titer of 1/128, a reactive Treponema pallidum microhemagglutination assay, a positive Human immunodeficiency test, and positive pregnancy test. This patient demonstrates the importance of screening for multiple sexually transmitted diseases in this setting. | ||||
| Related Images: | All related Images syphilis_1_030131 syphilis_3_030131 syphilis_4_030131 | ||||
| © 2001-2009, DermAtlas | Image Name: | syphilis_1_030131 | File Type: | jpg | |
| Diagnosis: | SYPHILIS, TREPONEMA PALLIDUM / SYPHILIS, SECONDARY | Category: | cutaneous sign of systemic disease / infections and infestations / papulosquamous eruptions | ||
| Body Site: | hand / palm | Age: | 13 years | ||
| Contributor: | Raja Mouallem, MD | ||||
| Description: | symmetric hyperpigmented scaly minimally elevated papules and plaques | ||||
| Comments: | This 13-year-old girl was evaluated for a rashof 3 weeks duration on her face, hands, and feet. She also had smooth topped hyperpigmented papules on the labia majora. Other than the skin rash her physical examination was normal. Screening for sexually transmitted diseases revealed posite HIV titers; a positive RPR with a titer of 1/128, a reactive Treponema pallidum microhemagglutination assay, a positive Human immunodeficiency test, and positive pregnancy test. This patient demonstrates the importance of screening for multiple sexually transmitted diseases in this setting. | ||||
| Related Images: | All related Images syphilis_2_030131 syphilis_3_030131 syphilis_4_030131 | ||||
| © 2001-2009, DermAtlas | Image Name: | syphilis_2_010505 | File Type: | jpg | |
| Diagnosis: | SYPHILIS, TREPONEMA PALLIDUM | Category: | infections and infestations | ||
| Body Site: | sole / foot | Age: | 15 years | ||
| Contributor: | Lydia Chiang, MD | ||||
| Description: | |||||
| Comments: | This 15 year old boy complained of a rash on the palms and soles. The "copper penny" lesions characterized by reddish browm thick scaly papules about the size of a penny are typical of secondary syphilis. He denied a history of a chancre, but his serologic test for syphilis was positive and the rash cleared with penecillin therapy. | ||||
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