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Image Number 805 (Syphilis)


Diagnosis: Syphilis

Site: Hand,palm

Sex: M

Age: 40

Type: Clinical

Description: Hyperkeratotic plaques on palms of both hands.

Submitted by: Dr Tuseef Kamran

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Differential Diagnosis


A fourty year old blind man presented with itchy hyperkeratotic leisons on palmar aspect of both hands since 1 month.No history of any extra marital sexual relationship,but on subsequent visit he disclosed that his wife had extamarital sex few months ago.VDRL and TPHA were positive.Patient responded well with injectable pencillins. 



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