RT Journal Article SR Electronic T1 Syphilis the great pretender: when is cancer not cancer? JF Sexually Transmitted Infections JO Sex Transm Infect FD BMJ Publishing Group Ltd SP 192 OP 193 DO 10.1136/sextrans-2017-053508 VO 94 IS 3 A1 Neesha Rockwood A1 Nneka Nwokolo YR 2018 UL http://sti.bmj.com/content/94/3/192.abstract AB 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.