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Secondary syphilis mimicking warts in an HIV-positive patient
  1. S Shinkuma,
  2. R Abe,
  3. M Nishimura,
  4. K Natsuga,
  5. Y Fujita,
  6. T Nomura,
  7. W Nishie,
  8. H Shimizu
  1. Department of Dermatology, Hokkaido University Graduate School of Medicine, Sapporo, Japan
  1. Correspondence to Dr S Shinkuma, Department of Dermatology, Hokkaido University Graduate School of Medicine, N15 W7, Sapporo 060-8638, Japan; qxfjc346{at}ybb.ne.jp

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A 35-year-old Japanese man visited our hospital with a 2-year history of skin lesions affecting his palms and soles. The palmar lesions comprised diffuse papillomatous hyperkeratotic and macerative reddish skin eruptions (fig 1A). In addition, he had warty-like plaques of 4.5 cm in diameter on his right sole (fig 1B). Upon his initial visit, he did not report any other symptoms such as chills or malaise. These unusual and severe hyperkeratotic lesions did not fit any typical known skin disease such as verruca, Reiter’s syndrome and so on.

Figure 1

Skin changes on the right palm (A) and sole (B) on the initial visit. After penicillin antibiotic treatment, the skin lesions …

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