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The most common manifestation is a generalized papulosquamous eruption with variable mucosal involvement. However, annular plaques, split commissural papules, crusted necrotic or ulcerated lesions are also frequent. Granulomatous lesions, both clinically and histologically, are less common and present a diagnostic challenge. We describe a case of secondary syphilis presenting as a granulomatous rash with both clinical and histological features of tuberculoid leprosy. Complementary tests and clinical suspicion are essential to ensure a correct diagnosis and avoid subsequent complications.<\/jats:p>","DOI":"10.1177\/0956462419869136","type":"journal-article","created":{"date-parts":[[2019,9,27]],"date-time":"2019-09-27T03:20:52Z","timestamp":1569554452000},"page":"1235-1238","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Secondary syphilis mimicking tuberculoid leprosy in an HIV-positive individual: a case report"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4461-1770","authenticated-orcid":false,"given":"D","family":"Fernandez-Nieto","sequence":"first","affiliation":[{"name":"Department of Dermatology, Hospital Universitario Ram\u00f3n y Cajal, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Ortega-Quijano","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Hospital Universitario Ram\u00f3n y Cajal, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Jimenez-Cauhe","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Hospital Universitario Ram\u00f3n y Cajal, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Fernandez-Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Hospital Universitario Ram\u00f3n y Cajal, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Moreno-Moreno","sequence":"additional","affiliation":[{"name":"Department of Pathology, Hospital Universitario Ram\u00f3n y Cajal, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Bea-Ardebol","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Hospital Universitario Ram\u00f3n y Cajal, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,9,27]]},"reference":[{"key":"bibr1-0956462419869136","doi-asserted-by":"publisher","DOI":"10.1177\/0956462418815310"},{"key":"bibr2-0956462419869136","doi-asserted-by":"publisher","DOI":"10.1097\/DAD.0b013e3181e8b587"},{"key":"bibr3-0956462419869136","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2015.08.062"},{"key":"bibr4-0956462419869136","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2017.73"},{"key":"bibr5-0956462419869136","doi-asserted-by":"publisher","DOI":"10.1177\/0956462418795590"},{"key":"bibr6-0956462419869136","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.12518"},{"key":"bibr7-0956462419869136","first-page":"176","volume":"72","author":"Sch\u00f6fer H","year":"1996","journal-title":"The German AIDS Study Group (GASG). 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