Secondary Syphilis

Generalized maculopapular eruptions are most common, although lesions may be pustular or follicular as well (or combinations of any of these types). Condylomata lata are raised, weeping papules on the moist areas of the skin and mucous membranes. The patient generally feels sick, can have regional lymphadenopathy, but complains only of minimal itching. Diagnosis of syphilis is based on a positive serologic test or discovery of Treponema pallidum on darkfield microscopy.