-(A) Slightly elevated and serpiginous lesion of the soft palate involving the palatoglossal arches bilaterally, surrounded by an irregular erythematous border; (B) Anti-Treponema pallidum antibody in immunohistochemistry showing multiple spirochetes in the lower part of the epithelium and in the vascular wall of the subepithelial connective tissue.

Contexts in source publication

Context 1

... had no relevant prior medical history and did not disclose any risk factor for sexually transmitted diseases. Apart from an elevated serpiginous soft palate lesion (Fig. 1A), the physical examination was unremarkable. An incisional biopsy revealed the presence of Treponema pallidum (Fig. 1B). Both TPHA testing and the VDRL test were positive. A diagnosis of secondary syphilis was established. 1 The patient received treatment with intramuscular penicillin 2.4 million I.U 1 with complete remission. Known as ...

Context 2

... had no relevant prior medical history and did not disclose any risk factor for sexually transmitted diseases. Apart from an elevated serpiginous soft palate lesion (Fig. 1A), the physical examination was unremarkable. An incisional biopsy revealed the presence of Treponema pallidum (Fig. 1B). Both TPHA testing and the VDRL test were positive. A diagnosis of secondary syphilis was established. 1 The patient received treatment with intramuscular penicillin 2.4 million I.U 1 with complete remission. Known as "the great imitator", 2 syphilis can present as a myriad of signs and symptoms. Recognition of unusual oral ...