File:Syphilis second state 1.jpg

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Description
English: syphilis, A 23-year-old man had an intensely

pruritic, papulonodular eruption over his arms and back.


On dark field examination, the lesions in the man were teeming with spirochetes. Additionally, his fluorescent treponemal antibody absorption test was positive. The AIDS patient had a penile chancre and a positive serum test for syphilis. With penicillin therapy, the eruption in both patients rapidly resolved.

Dermatologic manifestations are the hallmark of secondary syphilis. Copper-red papules are most common, but macular, pustular, acneiform, psoriasiform, nodular, annular, or follicular variants can appear. The lesions characteristically do not itch, but as shown in the first patient,

pruritus can be the dominant clinical feature.
Source Images of Memorable Cases - 50 years at the bedside ISBN 978-0-89263-000-4 http://cnx.org/content/m15022/latest/
Author Herbert L. Fred, MD, Hendrik A. van Dijk

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current19:15, 15 March 2010Thumbnail for version as of 19:15, 15 March 20101,080 × 724 (771 KB)Madhero88 (talk | contribs){{Information |Description={{en|1=syphilis, A 23-year-old homosexual man had an intensely pruritic, papulonodular eruption over his arms and back. On dark field examination, the lesions in the homosexual man were teeming with s

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