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Images in Clinical Medicine
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Volume 331:1492 December 1, 1994 Number 22
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Primary Syphilis

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Figure 1


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Figure 1. Primary Syphilis.

Panel A shows a primary chancre of syphilis, which began as a papule, eroded and developed into a painless ulcer (arrows) with raised, firm, indurated borders and a clean smooth base. Histologically, it is characterized by superficial ulceration, plasma-cell infiltrates, endarteritis, and endothelial proliferation (Panel B, arrows). In Panel C silver staining reveals a spirochete 6 to 15 microm in length with regularly spaced spiral coils (arrow).

 


Tai-Yuen Wong, M.D.
Martin C. Mihm, Jr., M.D.
Massachusetts General Hospital
Boston, MA 02114


Related Letters:

Syphilis and Coincidence
Carter R. L., Spiers A. S.D., Lewin P. K., Robbins D. A., Kassirer J. P.
Extract | Full Text  
N Engl J Med 1995; 332:1175-1176, Apr 27, 1995. Correspondence

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