Malignant syphilis accompanied with neurosyphilis in a malnourished patient: A case report

Figure 1 Widespread crusted skin ulceration. A: Face; B: Back; C: Chest; D: Genitals.

Figure 2 Magnetic resonance imaging revealing abnormal hyperintense lesions in the bilateral insular cortex and radial crown, and lateral anterior horn. The circles in blue and in red indicate lesions. A: T2 weighted imaging; B: T1 weighted imaging.

Figure 3 Photomicrograph of section of the skin biopsy from the abdomen lesion. A: The mixed infiltrate of lymphocytes, histocytes, and plasma cells (blue circle) accompanied by obliterative vasculitis in the dermis (red circle). (Hematoxylin-eosin staining, original magnification, ×200); B: Spiral and thread-like organisms, highlighted by the brown chromogen in the dermis, represent the spirochetes. (Immunohistochemical staining with anti-spirochetes, original magnification, ×200).

Figure 4 Pigmented and depigmented macules and atrophic scars 4 months after treatment. A: Face; B: Back; C: Chest; D: Genitals.