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Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Secondary Syphilis ... Rash Secondary ... The signs and symptoms ... heaped, wart-like lesions—Condyloma ... #Clinical #Photo
Stages of Syphilis
Early Primary:
 • Painless chancre
 • Regional lymphadenopathy
Early Secondary:
 • Fever, malaise
 • Rash
Stages of Syphilis ... Fever, malaise • Rash ... testing • No symptoms ... Gummatous • Nodular lesions ... #Stages #symptoms
Natural History of Syphilis
Primary - 2-6 weeks after infection
 • Chancre, Regional lymphadenopathy
Early Latent ≤ 1
Natural History of Syphilis ... after primary syphilis ... • Rash, Fever ... lymphadenopathy, Mucosal lesions ... ; Otic syphilis;
Christmas Tree Rash of Pityriasis rosea
 - small oval scaling patches
 - Christmas tree pattern
 -
Christmas Tree Rash ... - long axis of lesion ... diagnosis: secondary syphilis ... ChristmasTree #Rash ... #dermatology #photo
Maculopapular Rashes - THE ALGORITHMIC APPROACH 

The term maculopapule is a portmanteau, a combination
of macule and
absence of target lesions ... Target lesions are ... with peripheral lesions ... without target lesions ... without target lesions
Secondary Syphilis - Rash on Palms and Soles 
41ys, seen in our ED b/c of 20
- Rash on Palms ... days of painful lesions ... Typical lesions ... #Rash #clinical ... #photo #dermatology
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
- The chancre lesion ... - Rash, pink ... - Oral lesions ... heaped-up wart-like lesions ... exposure to or symptoms
Central Distribution, Febrile / Ill:
 - Viral Exanthem 
 - Lyme Disease (erythema migrans) 
Central Distribution,
/ Ill, Target Lesions ... Ill, No Target Lesions ... meningococcaemia - Syphilis ... Macules #Papules #Rash
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Photosensitivity, Butterfly rash ... Cranial nerve lesions ... , Aortic valve lesions ... erythematosus #signs #symptoms ... #diagnosis #rheumatology
Herpes Zoster Mandibularis - The lesions were scattered along the area that is innervated by the
Mandibularis - The lesions ... #Clinical #Photo ... #Mandibularis #Rash