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Beverley Adriaans, MD, MRCP

Arch Dermatol. 1992;128(7):981-982.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

REPORT OF A CASE

A 40-year-old homosexual man was referred to the dermatology department because of a widespread eruption that had appeared 4 weeks before and that had spread rapidly. The lesions were not pruritic and he was otherwise well. He denied any sexual activity for 4 years.

Examination showed several dark-purple, smooth surfaced, nontender, grouped nodules and plaques on the arm, wrists, and knees (Figs 1 and 2) and isolated papules on the shaft of the penis. The lesions ranged from 0.5 to 3 cm in diameter. No mucosal lesions or lymphadenopathy was seen. The rest of the examination showed normal findings.

A skin biopsy specimen was obtained from one of the nodules (Fig 3).

What is your diagnosis?

DIAGNOSIS:

Secondary syphilis.

HISTOPATHOLOGIC FINDINGS

The biopsy specimen showed a dense inflammatory infiltrate in the middermis and the upper dermis with several mononuclear cells . . . [Full Text PDF of this Article]

Author Affiliations
King's College Hospital, Denmark Hill, London, England

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