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November 1973

Pustular Secondary Syphilis

Author Affiliations

USNR San Diego, Calif

Arch Dermatol. 1973;108(5):727-728. doi:10.1001/archderm.1973.01620260071035

To the Editor.—  Today, as clinicians are seeing a steadily rising number of patients with venereal diseases, they are faced with more and more of their less common presenting signs and symptoms. It is well known that the cutaneous manifestations of syphilis are many. Very few cases of pustular secondary syphilid have been seen in recent years, and one must refer to the older dermatologic texts for thorough, descriptive discussions of the entity. Current textbooks consider pustular secondary syphilis to be a very rare entity occurring preponderantly in vagabonds or debilitated persons.1,2

Report of a Case  A 37-year-old Negro male airplane mechanic was admitted to the dermatology ward of the Naval Hospital, San Diego, with a "sore" of one month's duration on his penis. The patient related that he had one unprotected extra-marital sexual contact about one month prior to the appearance of the lesion, which began as

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