title: Nodular secondary syphilis.
abstract: Nodular secondary syphilis in a 23-year-old Indian man was characterized by numerous papular, nodular and plaque skin lesions, without involvement of the mucous membranes. The histopathology showed sarcoid-like granulomata with lymphocytes, histiocytes, eosinophils, plasma cells and multinucleated giant cells. The differential diagnosis included deep mycoses, leprosy, tuberculosis, sarcoidosis and lymphoma. The results of serological tests and the rapid response to penicillin indicated a correct diagnosis.
authors.affiliation: Dipartimento delle Specialità Medico-Chirurgiche, University of Perugia, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Papini
authors.forename: A
authors.initials: A
authors.lastname: Bettacchi
authors.forename: A
authors.initials: A
authors.lastname: Guiducci
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D010401:Penicillin G Benzathine / Q000627:therapeutic use; D010406:Penicillins / Q000627:therapeutic use; D013591:Syphilis, Cutaneous / Q000188:drug therapy / Q000473:pathology*
chemical_list: D010406:Penicillins; D010401:Penicillin G Benzathine