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    Condyloma Lata

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    Eldie Rahim

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    Condyloma Lata

    Uploaded by

    Eldie Rahim
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    condyloma lata

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    Condyloma Lata

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    Eldie Rahim

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    of 1

    ACTAS Dermo-Sifiliográficas 114 (2023) 447

    IMAGING IN DERMATOLOGY

    Condylomata Lata and Papular Rash of Secondary


    Syphilis
    Condiloma lata y erupción papular de sífilis secundaria
    A. Herzum ∗ , M. Burlando, C. Micalizzi, A. Parodi

    DISSAL, Section of Dermatology, University of Genoa, Ospedale Policlinico San Martino IRCCS, Genova, Italy

    A 41-year-old-man presented with a 2-month history of


    painful perianal lesions and various maculo-papular lesions
    that occurred simultaneously on his lower limbs.
    He reported generalized fatigue and previous unpro-
    tected homosexual intercourse.
    Physical examination evidenced moist-to-macerated,
    flat-topped, tumor-like nodules around the anus, sur-
    rounded by erythemato-squamous annular patches and
    scattered papules (Fig. 1A).
    On the legs and soles, coppery-shaded erythemato-
    squamous, nummular plaques and papules were noted, some
    of which with a collarette of scale (Fig. 1B).
    The clinical presentation of these lesion was highly sug-
    gestive for condylomata lata (CL) and for secondary syphilis Figure 1
    papular squamous rash.
    Positive TPHA and VDRL confirmed the clinical suspect of
    Dermatologists play a key role in identifying and treating
    secondary syphilis. The patient was treated with long-acting
    syphilis. It is therefore of great importance to increase the
    Benzathine G-penicillin (2.4 MU intramuscularly).
    clinicians’ ability to diagnose syphilis precociously, to pre-
    Secondary syphilis is polymorphic, causing initial maculo-
    vent complications, destructive consequences and disease
    papular rush, followed by persistent erythemato-papulo-
    transmission.2
    squamous lesions, as on our patient’s legs, soles and
    perineum.1 Also, 6---23% present CL: vegetating, flat-topped,
    infectious lesions, painful when macerated by friction,
    which also perpetuates dissemination.

    ∗ Corresponding author.
    E-mail address: astridherzum@yahoo.it (A. Herzum).

    https://doi.org/10.1016/j.ad.2022.01.046
    0001-7310/© 2022 AEDV. Published by Elsevier España, S.L.U. This is an open access article under the CC BY-NC-ND license (http://
    creativecommons.org/licenses/by-nc-nd/4.0/).

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