Syphilis - Skin Deep

Papulosquamous eruption affecting the dorsa of the fingers.

Lichenified axillae with papules on medial upper arm and excoriations.

Syphilis is a sexually transmitted infection caused by the spirochete Treponema pallidum.

Symptoms can include:

small, painless ulcers that typically appear on the penis, vagina, or around the anus, but can occur in other places such as the mouth
an erythematous rash that often affects the palms of the hands or soles of the feet
small growths (similar to genital warts) that may develop on the vulva in women or around the anus in both men and women
white patches in the mouth
tiredness, headaches, joint pains, a high temperature (fever) and swollen glands in your neck, groin or armpits