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December 1989

Extensive Nodular Secondary Syphilis

Author Affiliations

From the Division of Dermatology, Ottawa (Canada) General Hospital.

Arch Dermatol. 1989;125(12):1666-1669. doi:10.1001/archderm.1989.01670240066015

• An indigent male patient presented with a widespread nodular eruption involving the torso and limbs. The differential diagnosis included nodular secondary syphilis, Kaposi's sarcoma, sarcoidosis, and lymphoma. Investigation confirmed secondary syphilis with positive cerebrospinal fluid serologic findings. Penicillin therapy produced a Jarisch-Herxheimer reaction despite pretreatment to diminish this. Discussion on the clinical features and treatment of syphilis is presented.

(Arch Dermatol. 1989;125:1666-1669)