Papular, Orbicular Syphilide

Illustration from 'Atlas of Syphilis and the Venereal Diseases' (by Frank Mracek and Lemuel Bolton Bangs), 1898. Present Condition: In both genitocrural folds, at the edges of both labia majora, and about the anus are seen proliferating papules, some of which have run together. Part of the trunk is covered with the pigmented remains of a papulo serpiginous syphilide, the rest by an irregular (figurate) syphilide, made up of large macules. On the legs is a lichenoid brownish yellow syphilide arranged in groups. On the inner aspect of each thigh is an elliptical orbicular syphilide. The margin is composed of small lichenoid papules surrounded by a coppery halo; the center is brown with a shade of gray and the epidermis is in part undergoing desquamation. Above the line of small papules is irregular so that the margin of the entire ellipsoid figure appears broken. In addition all the lymph glands are swollen the mucous membranes are free. (Photo by VintageMedStock/Getty Images)