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Secondary Syphilis - Rash on Palms and Soles 41ys, seen in our ED b/c of 20 days of painful lesions on palms and soles. Typical lesions during secondary syphilis, present in 80% of cases. The zebra among rashes ... - Dr. Roberto Cosentini @rob_cosentini #Secondary #Syphilis #Rash #clinical #photo #dermatology #Palms #Soles #dermatology #physicalexam