case_images: PMC11730749_01
case_images: Erythematous macules and collarette scales on palms on soles (a and b). Skin colored papules and plaques on perianal area (c).
case_images: HIV-17-1-g0001.jpg
case_images: PMC11730749_01_HIV-17-1-g0001.jpg
case_images: f0001
case_images: Sadikin General Hospital (RSHS) with erythematous, non-itchy, and non-painful macules with scales on the palms and soles for 3 months. Skin-colored papules in perianal area gradually enlarged and multiplied, forming multiple plaques, as shown in Figure 1.
case_images: Neutrophil exocytosis in epidermis (red arrow) (a). Plasmacytic cells with stromal inflammation (red arrow) (b).
case_images: HIV-17-1-g0002.jpg
case_images: PMC11730749_01_HIV-17-1-g0002.jpg
case_images: f0002
case_images: This result is consistent with secondary syphilis verrucous lesions, as shown in Figure 2.
case_images: Erythematous macules with collarette scales on palms and soles (a and b), and skin-colored papules and plaques on perianal area (c) after one month therapy benzathine benzylpenicillin G.
case_images: HIV-17-1-g0003.jpg
case_images: PMC11730749_01_HIV-17-1-g0003.jpg
case_images: f0003
case_images: After the treatment, erythematous macules and perianal lesions improved, but anogenital warts developed, necessitating a second biopsy, as shown in Figure 3.