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Image Number 2302 (Syphilis)

Papules,skin coloured

Diagnosis: Syphilis

Site: Face

Sex: M

Age: 21


Description: Multiple florid exophytic papules/plaques on face

Submitted by: Ted Rosen

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Differential Diagnosis


Young male presented with widespread eruption of asymptomatic, exophytic slightly red papules/plaques involving trunk, extremities and face (shown here). Because fo the florid nature of the acute eruption, and a history of unprotected intercourse, syphilis was suspected. RPR was positive 1:256. This type of secondary syphilis is common in HIV-coinfected individuals and, indeed, he was found to be HIV+.

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