TY - JOUR T1 - Syphilis the great pretender: when is cancer not cancer? JF - Sexually Transmitted Infections JO - Sex Transm Infect DO - 10.1136/sextrans-2017-053508 SP - sextrans-2017-053508 AU - Neesha Rockwood AU - Nneka Nwokolo Y1 - 2018/03/08 UR - http://sti.bmj.com/content/early/2018/03/08/sextrans-2017-053508.abstract N2 - The number of cases of syphilis continues to rise in the UK, USA and elsewhere and may present to a variety of clinical specialties. We report a complex case of early acquired disseminated syphilis causing an ulceronodular rash (lues maligna), orchitis, osteitis and lung nodules in an immunocompetent man who has sex with men who presented to the genitourinary medicine clinic. Syphilis should be considered in the differential diagnoses of multiple clinical presentations and optimal management should involve multidisciplinary care. ER -