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Contributor

Li Zonghzhu

Diagnosis

syphilis, secondary syphilis, Treponema pallidum

Body Site

palate, hard hand

Age

30 years

Pigmentation

medium

Organization

scattered

Color

red

Morphology

ulcerated (erosion / ulcer)

Pattern

symmetric

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.

Description

firm eroded red plaques

Categories

infections and infestations papulosquamous eruptions

Image Added

11/24/2003 19:11:44

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Other Resources

PubMed Medline Plus Medscape

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