Chancriform papule. A case report.

Abstract

SUMMARY We describe a chancriform papule, a typically chancre like lesion, which was situated well away from the genital area in a patient diagnosed as having secondary syphilis. The diagnosis was confirmed by dark field microscopy, the effectiveness of antisyphilitic treatment, and the presence of a preputial scar.

The great imitator revisited: the spectrum of atypical cutaneous manifestations of secondary syphilis

“…Hypopigmented macules affecting the shaft of the penis have also been reported; these are akin to the well‐described, post‐inflammatory hypopigmentation seen in syphilis along the lateral aspects of the neck, also known as the “necklace of Venus” . An unusual chancriform ulcer on the lateral hip has been reported in the absence of any systemic symptoms or other manifestations of secondary syphilis . Corymbose syphilis is another historically relevant term derived from the Greek for a cluster of fruit or flowers; it reflects a morphology consisting of a central plaque surrounded by discrete papules along the periphery.…”

“…8 An unusual chancriform ulcer on the lateral hip has been reported in the absence of any systemic symptoms or other manifestations of secondary syphilis. 53 Corymbose syphilis is another historically relevant term derived from the Greek for a cluster of fruit or flowers; it reflects a morphology consisting of a central plaque surrounded by discrete papules along the periphery. Such an arrangement of lesions has been reported in a patient with reinfection.…”