“…It has been used to describe nodular, vegetating, ulcerated, keratotic verrucous or moist syphilitic lesions . They can involve the scalp and the face, with a predilection for the periorificial region, neck, trunk, extremities, genital area, and palms, or may be limited to the scalp . Importantly, other more easily recognized stigmata of secondary syphilis such as palmoplantar involvement, genital lesions, and lymphadenopathy are often present .…”