Table 1

Patients with nodular secondary syphilis reported 1992–2012

ReferencePatient (Age, gender)Localization of skin lesionsAffection of palms or solesAffection of mucosal membranesHistopathologySerologyHIV statusTreatment
Rosmaninho1264, maleNeck, arms, backNoNoHistiocytes, plasma cellsVDRL 1:512
TPHA pos
Positive3× benzathine penicillin 2.4 M units
Jang1146, maleScalpNoNoPlasma cells, lymphocytesVDRL 1:128
TPHA pos
FTA pos
Negative1× benzathine penicillin 2.4 M units
Brar, Indina J Dermatol Venereol Leprol 2007;73:43728, maleFace, arms chest, backNoNoPlasma cells, lymphocytes Non-sarcoidal granulomasVDRL 1:512
TPHA pos
Negative3× benzathine penicillin 2.4 M units
Breznik1352, maleFace, upper trunk, feetYes (soles)NoPlasma cells, lymphocytes, granulomasVDRL 1:1024
TPHA 1:40960
FTA pos
Negative3× benzathine penicillin 2.4 M units
ul Bari1029, femaleForehadNoNoPlasma cellsVDRL 1:512
TPHA 1:64
Negative2× benzathine penicillin 2.4 M units
Dinotta, G Ital Dermatol Venereol 2009;144:72529, maleScrotum, penisNoNoN/AN/AN/ADiaminopenicillin
Battistella1933, maleFace, arms, trunk, feet, genital regionNoNoPlasma cells, lymphocytesVDRL 1:64
TPHA 1:10260
N/A3× benzathine penicillin 2.4 M units
Tsai, J Am Acad Dermatol 2007;57:S5749, maleFace, arms trunkNoNoPlasma cells, lymphocytes, granulomasPlasma reagin 1:128
TPHA pos
Negative2× benzathine penicillin 2.4 M units
Pandhi, J Eur Acad Dermatol Venereol 2005;19:25635, maleFace, arms trunk, legsNoNoPlasma cells, giant cellsVDRL 1:128
TPHA pos
Negative2× benzathine penicillin 2.4 M units
Engel1834, femaleFace, eyes, arms, trunk, legsNoNoPlasma cells granulomas,VDRL 1:512
TPHA 1:163840
NegativePenicillin intravenous 10 M units three times a day for 4 weeks
Dave, Dermatol Online J 2003;9:922, maleFace, arms, trunk, legsNoNoGranulomasVDRL 1:64
TPHA pos
Negative1× benzathine penicillin 2.4 M units
Harden, Arch Dermatol 1997;133:102739, maleScalp, face, neckNoNoPlasma cellsPlasma regain 1:128
TPHA pos
N/AN/A
Papini, Br J Dermatol 1998;138:70423, maleTrunk, arms, legsNoNoSarcoidal granulomasVDRL pos
TPHA 1:5120
FTA pos
Negative3× benzathine penicillin 2.4 M units
Adriaans, Arch Dermatol 1992;128:97840, maleArms, legs, penisNoNoPlasma cells, granulomasVDRL 1:256
TPHA pos
N/AN/A
Glatt, Clin Infect Dis 1996;23:23129, maleArms, feetYesNoPlasma cellsVDRL 1:64
FTA pos
Positive3× benzathine penicillin 2.4 M units, Doxycycline 100 mg twice daily for 1 month
  • FTA, fluorescent treponemal antibody; N/A, not available; TPHA, Treponema pallidum haemaglutination assay; VDRL, Venereal Disease Research Laboratory