The hands of a 41-year-old woman

The hands of a 41-year-old woman



The hands of a 41-year-old woman, What is the diagnosis?

Rocky mountain spotted fever
Hand foot and mouth disease
Infective endocarditis
Secondary syphilis

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Definitely secondary syphilis.

SECONDARY SYPHILIS.If left untreated or treatment has failed, about 3 weeks to 3 months after the 1st stage, a widespread skin rash occurs.
Rash may be subtle or appear as rough, red or reddish brown spots. Occur anywhere on the body but frequently affects palms and soles. May be mistaken for other conditions.
Patchy hair loss.
Raw and red mucosal surfaces such as inside the mouth, throat, genital area, vagina and anus (mucous patches).
Greyish-white moist raised patches in the groin, inner thighs, armpits, or under breasts (condyloma latum).
Other symptoms include fever, tiredness, muscle and joint pains, headache and swollen lymph glands.
Other affected organs may include liver, kidneys, central nervous system (CNS), joints and eyes.

Secdry syphilis….and there r two imp ds which have rashes on palms……RMSF and syphilis

Andre Sookdar says:

Infective endocarditis

Tamilselvi Karthikeyan says:


Secondary syphilis

Walt Gram says:

Secondary syphilis.

Zohaib Khan says:

secondary syphyillis

Ali Ismail A. Mohammed says:

secondary syphilis

Rob Gill says:

Secondary syphilis