Denouement and Discussion
Cutaneous lesions occur in one third to one half of infants with congenital syphilis. The lesions may be relatively inconspicuous, as illustrated by the Figures, or they may be prominent and vesiculobullous or eroded. The most common lesions are round to oval maculopapular or papulosquamous lesions strongly suggestive of pityriasis rosea, one of the common skin disorders that secondary syphilis mimics. The lesions may occur anywhere, but are most common on the face, the extensor surfaces of the arms and legs, and the perineum. Occasionally, the palms and soles are involved. The
Tunnessen WW. Picture of the Month. Am J Dis Child. 1992;146(1):115–116. doi:10.1001/archpedi.1992.02160130117033
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