17th August 2020

A 66-year-old man attends an outpatient appointment, following a GP referral

A 66-year-old man attends an outpatient appointment, following a GP referral. Over the past several weeks he has developed several prominent lumps on his face and neck. On examination, there are approximately five soft discrete lumps, each between one and three centimetres in size. These lesions are erythematous, non-ulcerating, and are non-fluctuant. His past medical history includes hypertension and gout, and he also reveals he was once treated for syphilis, around 20 years ago. 

Which type of syphilis is being described in this case?

Select the SINGLE most appropriate option from the list below. Select ONE option only.