14265 Having the (b)lues: A case of malignant syphilis with paronychia and asymptomatic neurosyphilis

Abstract

Malignant syphilis (lues maligna) is regarded as a rare variant of secondary syphilis. As syphilis infection rates rise, dermatologists should be familiar with the features of malignant syphilis to ensure prompt diagnosis and treatment. A 56-year-old Chinese man presented with nonhealing ulcers of one-month duration. He was not forthcoming initially but subsequently reported recent sexual intercourse with multiple partners. On examination, multiple rupioid plaques and ulcers were noted on the penis, face, inner thighs and periungal regions.