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January 1980

Chancres in Syphilis

Author Affiliations

Huntington Station, NY

Arch Dermatol. 1980;116(1):20. doi:10.1001/archderm.1980.01640250022007

To the Editor.—  The occurrence of multiple chancres in primary syphilis was recently discussed in an article by Wade and Huntley in the February Archives (115:227, 1979). The premise that this is a "rare and atypical clinical presentation" is not documented in the article or by the references noted.Any clinical manifestation present in up to 23% of cases1 is hardly rare or atypical. The Public Health Service monograph on syphilis states that "chancres are usually single lesions, but multiple lesions are not rare."2Two of the references quoted by the authors contradict their basic point. Olansky and Norins3 and Lomholt4 do not state that "chancres in multiplicity are rare," as the authors contend. These references, in fact, state that "quite often multiple chancres appear simultaneously or within a few days."4Reminding us of one of the many manifestations of primary syphilis is a commendable

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