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Papulonodular secondary syphilis: a rare clinic presentation confirmed by serologic and histologic exams* * Work performed at Hospital da Santa Casa de São Paulo – São Paulo (SP), Brazil.

Abstract:

Syphilis is a sexually transmitted disease caused by Treponema pallidum and divided into three stages according to the duration of the disease: primary, secondary and tertiary. Secondary syphilis has diverse clinical presentations, such as papular-nodular lesions. This presentation is rare, with 15 cases reported in the literature over the past 20 years. We report a case of secondary syphilis with papular-nodular lesions in a healthy 63-year-old patient, who has presented treponema in immunohistochemical examination of the skin lesions.

Keywords:
Histology; Syphilis; Syphilis, cutaneous; Treponema; Treponemal infections; Treponema pallidum

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