A patient with secondary syphilis presents with highly infectious, moist, flat, raised warty growths in the perianal region and moist intertriginous areas. RPR is 1:64. What are these lesions called?

• A Condylomata acuminata
• B Snail-track ulcers
• C Chancre redux
• D Condylomata lata ✓

Explanation

Condylomata lata are the broad, flat, moist, warty plaques of secondary syphilis that develop in warm, moist, intertriginous areas such as the perineum, perianal region, and axillae. They are distinct from condylomata acuminata (anogenital warts caused by HPV) by their flatter, broader, grey-white surface and the systemic context of secondary syphilis including generalized rash and constitutional symptoms. Condylomata lata are highly infectious and teeming with spirochetes, detectable on dark-field microscopy.

Reference: Neena Khanna Illustrated Synopsis of Dermatology & STD, 6th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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