Early syphilis Images
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Syphilis acquisita: two sharply defined, surprisingly coarse, completely indolent, red, yellowish ulcers in a 32-year-old husband that have been present for 14 days; secretion of an irritant secretion; indolent regional lymphadenitis (Bubo).


early syühilis: 29 year old man, MSM, country of origin Singapore. January oral and anal sex in a swingers club in France. early march presentation with painless ulcer on the shaft of the penis. syphilis serology positive.

Syphilis acquisita: solitary, acute, 0.4 x 0.9 cm, indolent, coarse ulcer in a 19-year-old adolescent, occurred a few weeks after unprotected sexual contact.

Syphilis acquisita. Primary effect on the prepuce.

syphilis early syphilis. primary effect. primary effect since 3 weeks. ulcer, rough, little pressure dolent. the lesion can be grasped like a rough plate between index finger and thumb. TPHA already positive.

Syphilis Early syphilis: primary effect on the lower lip existing since 1 week.

Syphilis acquisita:painless, very coarse primary effect of the upper lip, 3 weeks after suspicious sexual contact. Considerable firm swelling of the upper lip. Clear, non-painful adenopathy of the submandibular lymph nodes.

Syphilis: Primary effect; rough, non-painful ulcer (DD: aphthae); raised marginal wall.

Syphilis (early syphilis): macular, chronic exanthema. Fading erythema is also found in places. At this stage lymph node swelling is always detectable.

Syphilis: Early syphilis; purely macular non-itching dense exanthema.

Syphilis (early syphilis): macular, chronic exanthema. in places fading erythema is also found. detailed view.

Syphilis Early syphilis: maculo-papular , sometimes psoriasiform syphilis

Syphilis acquisita. maculo-papular syphilide. in places aligned with the tension lines of the skin (see following figure)

Syphilis early syphilis: maculo-papular syphilide, in places aligned with the tension lines of the skin (some tension lines of the skin)


Syphilis Early syphilis: dense, maculo-papular exanthema

Syphilis acquisita: maculo-papular exanthema.

Syphilis acquisita: maculo-papular exanthema.

Syphilis: maculo-papular syphilide, disseminated non-itchy, psoriasiform scaly papules.


Syphilis early syphilis: papular syphilide. No itching. Generalized lymph node swelling. Syphilis serology positive.

Syphilis: papular syphilide. The patient could not remember a previous exanthema. Disseminated non-itching, occasionally eroded, scaly papules.

Differential diagnosis "early syphilis" : in this case a pityriasis rosea.

Syphilis: papular syphilide. recurrent hexanthema. disseminated non-itching or painful, 0.2-04cm large, flat papules.

Early syphilis: papular syphilide, acne-like clinical picture with disseminated non-itching, occasionally eroded, scaly papules.

Syphiis: papular syphilide, acne-like clinical picture with disseminated, non-itching, occasionally eroded, scaly papules.

Syphiis: papular syphilide, acne-like clinical picture with disseminated, non-itching, occasionally eroded, scaly papules.

Syphilis Early syphilis: papular , in places psoriasiform scaling, chronic exanthema. Fading erythema is also found in places. Generalized lymphadenopathy.

Syphilis acquisita: maculo-papular psoriasiform exanthema in places.

Syphilis acquisita: papular, completely asymptomatic (recurrent) exanthema (no itching) Important: generalized lymphadenopathy.

Syphilis acquisita: papular, completely asymptomatic (recurrent) exanthema (no itching) Important: generalized lymphadenopathy.



Syphilis Early syphilis: discreet , non-itching or painful, maculo-papular palmar syphilis

Syphilis Early syphilis: papularpalmar syphilis.

Syphilis Early syphilis: a long-standing, distinct, locally psoriasiform papular palmar syphilis.

Syphilis Early syphilis: psoriasiformes papular palmarsyphilid as partial manifestation of a generalized papular exanthema.

Syphilis acquisita, maculopapularexanthema, psoriasiform palmarsyphilid in HIV infection.

Syphilis Early syphilis: maculo-papular , plantarsyphilide

Syphilis Early syphilis: maculo-papular , plantarsyphilid.

Syphilis Early syphilis: psoriasiform papular plantar syphilis as a partial manifestation of a generalized papular exanthema.

Syphiis: papular syphilide on the glans penis.

Syphilis acquisita. maculo-papular exanthema with involvement of the mucous membranes of the penis.



Syphilis: Angina specifica in early syphilis and simultaneous HIV infection; bright red, largely symptomless swollen tonsils with accompanying papular exanthema and generalized lymphadenopathy.

Plaques muqueuses in the presence of a maculo-papular syphilitic exanthema; characteristic, largely symptom-free, plaque free, oval plaques that have confluated to larger areas

Syphilis: Primary effect. ulcer with lateral epithelial border. basal dense, ligamentous, inflammatory infiltrate.

Syphilis: primary effect. detail view: diffuse penetration by lymphocytes and plasma cells. at the right edge of the picture normal epithelium limiting the ulcer. dilated capillary vessels at the ulcer base.