eNewsletter Dermatology Sign Up
Look good, feel great with Beautiful Skin
Crutchfield Dermatology Home Patient Reviews Patient Portal Make a Payment Leading Doctors Best Doctors in America Consumer’s Research Council of America Top Dermatologist for Women Mpls St. Paul Top Doctors Crutchfield Dermatology Awarded 2008 Best of St. Paul for their Excellence in Skin Care Mpls St. Paul Top Doctors Physcian Health Care Heros America's Top Doctors Request Appointment eNewsletter Sign Up
Medical Education Sectiongif

A 36 year old man presents with multiple copper-colored scaling maculo-papules on his palms and soles. He has been feeling run down for the past few weeks and on examination has mild-moderate inguinal adenopathy. He also has a very slight psoriasiform rash on his back that could pass for xerotic eczema. Mucous membranes and genitalia exam were normal. He reports no remembrance of any genital lesions. He reports multiple sexual partners over the past 8 months. RPR test was ordered.

What is your diagnosis?

Case of the Month


Syphilis, Secondary (RPR positive)

Syphilis is a sexually transmitted disease (STD) caused by the bacterium Treponema pallidium. There are several stages including primary, secondary, latent,, late, and tertiary. There are also additional manifestations, such as neurosyphils and congenital syphilis. (Please see reference link below for additional information).

The patient here had secondary syphilis and the scaling maculo-papules on the palms and soles have been called (especially in Great Britain) “copper pennies” of secondary syphilis. He did not recall having a an earlier chancre, which is not uncommon. He was treated with 2.4 MU of benzathine penicillin G, IM. He did experience a moderate Jarish-Herxheimer reaction (fever, chills, headache and sore throat) that started 2 hours after the injection and lasted about 32 hours.

He was subsequently followed up with his primary care and was contacted by the Minnesota Department of Health (mandatory reporting) to evaluate and treat contacts.

For additional comprehensive information on Syphilis please see:

gif gif

Crutchfield Dermatology

651-209-3600       Look Good, Feel Great with Beautiful Skin ™

Prestigious Organizations
MetroDoctors ASDS-Net.org ASCDAS.org NMANET.org aestheticmd.com Better Business Bureua
expert injectorMayo Clinic American Board Dermatology American Medical Med.UMN.edu cosmeticsurgery.org ASNA Top Dermatologist

AAD Fellow Alpha Omega Alpha
Crutchfield Dermatology All Photographs are copyright protected. Unauthorized use is prohibited 651-209-3600

Crutchfield Dermatology
1185 Town Centre Drive Suite 101 Eagan, MN 55123
Call for appointment: 651-209-3600 Fax: 651-209-3601

top 100 places to work

Proudly serving: The greater Twin Cities area, Minneapolis, St. Paul, Edina, Eden Prairie, Eagan, Richfield, Bloomington, Hopkins, Savage, Mendota Heights, St. Louis Park, Wayzata, Plymouth, Maple Grove, Crystal, Roseville, West St. Paul, Apple Valley, Burnsville

Web Design Arbor Bay Marketing


Alpha Omega Alpha Honor Medical Society