Malignant syphilis is an infrequently seen manifestation of secondary syphilis. In this case, which is a dramatic clinical example of this entity, the patient had intense facial involvement leading to a bizarre presentation.
Petrozzi JW, Lockshin NA, Berger BJ. Malignant SyphilisSevere Variant of Secondary Syphilis. Arch Dermatol. 1974;109(3):387-389. doi:10.1001/archderm.1974.01630030045011