Secondary syphilis
Secondary syphilis
Updated: 02/10/2021
© Jun Wang, MD, PhD
General features
- Infectious disease caused by Treponema pallidum
- Most common in men who have sex with men
- Rash in second stage
- Face and trunk
Clinical features
- Scaly, flesh-color to erythematous papules or annular plaques
- Serology studies (VDRL, RPR, TRUST for screening, treponemal tests for confirmation) for diagnosis
Pathological features
- Dense perivascular or diffuse plasma cell infiltrate
- Silverstain or immunohistochemistrystudy reveals spirochetes
Management
- Penicillin
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