Syphilide papular A51.3

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 06.01.2023

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Synonym(s)

Syphilide lenticular; syphillid lichenoides; syphillid miliares

Definition
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Syphilitic recurrent exanthema with symmetrical, reddish to brownish-red, compact, dermal, dome-shaped papules. Seroreactions are always positive. Possible painfulness to button pressure. Development of condylomata lata in the intertriginous area. The symmetry of this non-pruritic, papular exanthema form is characteristic. Symmetry may be progressively lost in later recurrent exanthemas.

  1. Small pap ular or miliary or lichenoid syphilid: early symmetrical recurrent exanthema with 0.3-0.5 cm red-brown surface smooth or scaly (also psoriasiform scaling) papules.
  2. Papular or lenticular syphilid: most common syphilid. Truncal; palms and soles frequently affected. Serology always positive. Non-painful swelling of lymph nodes.
  3. Ulcerative sy philid: rather late secondary stage of syphilis. Foci arise from disintegration of syphilitic papules.

Localization
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Located symmetrically on the trunk, palms, soles of the feet and also on the face (seborrhoeic zones).

Differential diagnosis
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Therapy
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therapy of the underlying syphilis acquisita, see there.

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 06.01.2023