Syphilide Papular Plaque-like

Syphilidae papularis (or syphilidae papillata, S. papillomatum) is one of the classic cutaneous manifestations of syphilis, which is a non-contagious, autoinfectious condition. However, in some cases, syphilides are a symptom of neurosyphilis.

If the patient has a symptom of syphilis alone, especially papulosis (large brown papules), then this is a sign of Treponema pallidum infection. On this basis, syphilide rashes are widely used in medical diagnosis to confirm or exclude the disease. On palpation, these rashes form as growths, which later take on the appearance of cone-shaped formations with raised edges and can be of various sizes (1-3 mm).

Symptoms of syphilide rashes in patients may include itching, tingling, or a warm plug sensation. Skin lesions may be manifested by the presence of several merging small shiny papules 0.5-2.0 cm in size, visible mainly along the front surface of the neck. Sometimes the appearance of so-called syphilomas (hemispherical red papules located above the bone ridge) is possible. These symptoms combine signs of both syphilitic leprosy and herpetic skin lesions. Usually the number of fresh papules gradually increases.

Moreover, if syphilides appear, it is recommended to consult a doctor. During an in-person examination, the doctor will be able to accurately determine the type of skin lesion and make an accurate diagnosis. In the future, when treating papulopate plaque syphilide, after consultation with a dermatologist, appropriate treatment will be prescribed, strictly individually selected for the patient.