Below are a few pictures of a few manifestations of the different stages of Syphilis.
Primary Syphilis — Chancre: Painless ulcer with heaped edges at site of inoculation:
Secondary Syphilis — Rash: Comes in many varieties. Any rash with involvement of palms & soles is very suggestive. Some examples:
NOT Syphilis: This is Pityriasis Rosea. But there’s no way to tell!!! Never diagnose “PR” without drawing syphilis serology.
Secondary Syphilis — Mucus Patches: Plaques or erosions on mucus membranes.
Secondary Syphilis — Condylomata Lata: Nodules or verrucous lesions in intertriginous areas or mucus membranes.
Tertiary Syphilis — Gumma: Heaped-up, disfiguring granulomas on skin, bone, or viscera [rarest form of 3° Syphilis].