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Figure 1. A 32-year-old man presented with a five-day history of nonpruritic, copper-colored palmoplantar macules and papules (Panels A and B), several of which were crossed by creases. The patient did not have a history of syphilis but had noted a painless chancre-like papule on his glans penis that had cleared spontaneously two months earlier. On physical examination, mucous patches, condylomata lata, and truncal lesions were absent, but a rapid plasma reagin test was positive at a titer of 1:512. The patient was treated with intramuscular penicillin G benzathine (2.4 million units), with full resolution of the palmoplantar papulosquamous . . . [Full Text of this Article] |