A patient with primary syphilis of the hand.

Abstract

SUMMARY 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.

A case of a pseudoneoplastic primary syphilis chancre on the neck

“…Examples include venereal and nonvenereal transmission to traumatized skin (eg, human bites, scratches, unprotected hands of health care providers, shared syringes). [14][15][16][17] This mechanism also explains the high incidence of oral chancres and anal chancres, specifically in patients who engage in anal sex. 5 Additionally, the high rate of coinfection of syphilis and HIV can be attributed, at least in part, to the mucosal barrier disruption associated with chancre formation in addition to immunologic and behavioral factors.…”

Primary Syphilis with Multiple Chancres and Porphyria cutanea tarda in an HIV-lnfected Patient

“…In 1977 (years before the appearance of AIDS), dc Koning ct al. [13] published a case of syphilis with multiple chancres on one hand. We believe that in our patient it was the immunological deficit that led to the aggressive nature of the syphilis.…”

Presternal Indurated Ulceration: Primary Syphilis

“…Case reports of syphilitic chancres exist for the occurrence on the fi nger, nipple, eyelid, arm and toe [1,2,[7][8][9]17] . A truncal occurrence as in our patient is extremely rare, at least nowadays.…”