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Indian J Sex Transm Dis AIDS. 2019 Jan-Jun;40(1):70-72. doi: 10.4103/ijstd.IJSTD_28_17.

Psoriasiform lesions of glans and palms: A rare presentation in secondary syphilis.

Author information

1
Department of Dermatology, STD's and Leprosy, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
2
Department of Pathology, STD's and Leprosy, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.

Abstract

Erythematous scaly papules on the palms and soles are a common manifestation of secondary syphilis. We report a case of 19-year-old male who presented with erythematous, scaly, psoriasiform lesions over the palms and glans penis. The papules over the palms showed tenderness on blunt vertical pressure. There was a history of sexual contact and ulcer over the glans around 2 months back, which resolved on its own. Venereal Disease Research Laboratory test was positive in 1:32 dilution. Treponema pallidum hemagglutination test was also positive. This case highlights the atypical presentation of secondary syphilis.

KEYWORDS:

Erythematous; psoriasiform lesions; secondary syphilis

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