SIFILIS

Figure 175-CD1. Primary lesions in Treponema infections. A. The primary lesion of infection with
Treponema pallidum spp pallidum is typically a small, discrete ulcer (chancre) occurring at the site of
infection, which may be genital, oral, or anal. B. A papilloma is the typical primary lesion of T. pallidum
spp pertenue infection (yaws). The lesion is usually nontender but often may be pruritic, crusted, or
ulcerated; it occurs most frequently on exposed skin. C. The most common early manifestation of
endemic syphilis (bejel) is a mucocutaneous lesion occurring on the lips, tongue, pillars of the fauces,
tonsils, and buccal mucosa.

Figure 174-3. Primary syphilitic chancre on the Figure 174-CD1. Los chancros orales de sífilis
penis. primaria en la lengua. Un empedernió, la
ulceración del nontender ocurrió en la lengua, junto
con el lymphadenopathy cervical anterior bilateral.
El chancro fue contraido de compañero con sífilis
secundaria. Las ulceraciones de sífilis primaria son
profundas, en contraste con las úlceras poco
profundas de herpes y estreptococales.
Figure 174-4. Maculopapular rash of secondary
syphilis

Figure 174-5. Secondary syphilitic rash on the

palm and sole.

Figure 174-CD5.
Perforation of the
hard palate due to
late syphilis.
Cases of
perforated palate
were relatively
common in the
prepenicillin era
but are now
exceedingly rare.
The differential
Figure 174-6. Mucous patches on the tongue of a
diagnosis would
patient with secondary syphilis.
include
squamous cell carcinoma and midline granuloma.