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Dermatologic Manifestation of Secondary Syphilis

Description

39 year old African American male with a past medical history of hypertension and hyperlipidemia was found to have a maculopapular rash involving the palms and soles. He reported sexual activity with two female partners along with inconsistent barrier protection within the preceding 12 months. He denied penile lesions/drainage or lymphadenopathy. He was found to have both a positive screening non-treponemal test (RPR titers 1:64) and positive treponemal test (treponemal antibody screen) concerning for secondary syphilis. HIV and Hepatitis C tests were non-reactive. He received a single dose of intramuscular penicillin G and was referred to the local Health Department for further treatment and contact tracing.

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