RT Journal Article SR Electronic T1 A patient with primary syphilis of the hand. JF The British Journal of Venereal Diseases JO Br J Vener Dis FD BMJ Publishing Group Ltd SP 386 OP 388 DO 10.1136/sti.53.6.386 VO 53 IS 6 A1 G A De Koning A1 F B Blog A1 E Stolz YR 1977 UL http://sti.bmj.com/content/53/6/386.abstract AB The case history of a man with primary syphilis of the right hand is described. This type of luetic condition nowadays is rare. The incidence of genital, anorectal, and extragenital primary syphilis in both men and women and in sailors presenting at the Venereological Outpatient Clinic of the Department of Dermatology of the University Hospital Rotterdam-Dijkzigt during a period of seven years was studied. In sailors and women only genital primary lesions were found, whereas in male civilians 6.3% of cases of primary syphilis had anorectal lesions. The primary lesions in this study were different from those reported in earlier literature.