Papulonodular secondary syphilis: A rare clinic presentation confirmed by serologic and histologic exams

Syphilis is a sexually transmitted disease caused by treponema pallidum and divided into three stages according to the duration of the disease: primary,secondary and tertiary. secondary syphilis has diverse clinical presentations,such as papular-nodular lesions. this presentation is rare,with 15 cases reported in the literature over the past 20 years. we report a case of secondary syphilis with papular-nodular lesions in a healthy 63-yearold patient,who has presented treponema in immunohistochemical examination of the skin lesions. © 2016 by anais brasileiros de dermatologia.