Primary syphilis on penile shaft Primary lesion appears after an incubation of 2-6 weeks Single painless papule that becomes eroded and indurated, cartilaginous consistency on palpation Minority of patients can have multiple lesions or atypical appearance Occurs at point of contact: penis, rectum, mouth, external genitalia, cervix, or labia Heals in 4-6 weeks Regional lymphadenopathy that is painless and firm #Clinical #Photo #Penis #Primary #Syphilis