Syphilis, Treponema Pallidum, Syphilis, Secondary - DermAtlas

Contributor

Raja Mouallem, MD

Diagnosis

syphilis, Treponema pallidum syphilis, secondary

Body Site

hand palm

Age

13 years

Pigmentation

dark

Organization

grouped, clustered

Color

brown

Morphology

papulosquamous (bump, scale)

Pattern

symmetric acral (centripetal - extremity predominant)

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.

Description

symmetric hyperpigmented scaly minimally elevated papules and plaques

Image Added

12/16/2002 16:14:56

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Other Resources

PubMed Medline Plus Medscape

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