Syphilide papular A51.3

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Syphilide lenticular; syphillid lichenoides; syphillid miliares

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Syphilitic recdivexanthem with symmetrical, reddish to brownish red, compact, coarse, calotte-shaped papules. Seroreactions are always positive. Possible painfulness at button pressure . In the intertriginous area development of condylomata lata. The symmetry of this non-itchy, papular exanthema is characteristic. Symmetry may be increasingly lost in later recdivexanthema.

  1. Small papular or miliary or lichenoid syphilide: early symmetrical recurrent exanthema with 0.3-0.5 cm large red-brown surface smooth or scaly (also psoriasiform scaling) papules
  2. Papular or lenticular syphilide: most common syphilide. Truncated; palms and soles often affected. Serology always positive. Not painful lymph node swelling.
  3. Ulcerous syphilis: rather late secondary stage of syphilis. Flocks are formed by the disintegration of syphilitic papules.

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Located symmetrically on the trunk, palms, soles of the feet and also on the face (seborrhoeic zones).

Differential diagnosis
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therapy of the underlying syphilis acquisita, see there.


Please ask your physician for a reliable diagnosis. This website is only meant as a reference.


Last updated on: 29.10.2020