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File:Syphilis second state 2.jpg

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Description
English: syphilis,A 52-year-

old man with AIDS had reddish papules and nodules—some pustular—over his face, chest, arms, and back (right image).


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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This file is licensed under the Creative Commons Attribution 2.0 Generic license.
Attribution: Herbert L. Fred, MD, and Hendrik A. van Dijk
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current19:15, 15 March 2010Thumbnail for version as of 19:15, 15 March 20101,080 × 770 (985 KB)Madhero88{{Information |Description={{en|1=syphilis,A 52-year- old man with AIDS had reddish papules and nodules—some pustular—over his face, chest, arms, and back (right image). On dark field examination, the lesions in the homosex

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