International Journal of STD & AIDS > Volume 20, Number 4 > Pp. 271-273

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Case reports

Unusual late nodular presentation of secondary syphilis

E Lanjouw ^* , W I van der Meijden ^*, J C den Hollander  and H A M Neumann ^*

^* Department of Dermatology and Venereology, Erasmus MC Rotterdam, Burgemeester s' Jacobplein 51, 3015 CA, Rotterdam; Department of Pathology, Erasmus MC Rotterdam, Rotterdam, The Netherlands

Correspondence to: Dr E Lanjouw Email: e.lanjouw{at}erasmusmc.nl

A 20-year-old man presented with a five-week history of an eruption of papules and nodules disseminated over his body and face. We propose that this patient has a late form of secondary syphilis with a nodular, granulomatous inflammation in urgent need of treatment. Otherwise late irreversible sequelae could develop and unwanted possible further sexual transmission could take place.

Key Words: secondary syphilis • nodular presentation • granuloma

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