0071643192.pdf

DERMATOLOGY

CONDYLOMA ACUMINATUM

■ Genital warts, caused by sexually transmitted papillomavirus; soft, fleshy
growths on the skin of the genital, perianal, or anal canal regions
■ Malignant transformation to squamous cell carcinoma may occur.
■ If recurrent, atypical, large, or occurs in HIV-positive patient, may require
biopsy to rule out malignancy

DISSEMINATED GONOCOCCAL INFECTION

SYMPTOMS/EXAM

■ Fever, migratory arthritis, and rash are the common presentation of dis-
seminated gonococcal disease (see Figure 17.7).

FIGURE 17.6. Primary syphilis penile chancre. (See also color insert, Figure 18.2.)

(Reproduced, with permission, from Wolff K, Johnson RA, Suurmond D. Fitzpatrick’s Color
Atlas & Synopsis of Clinical Dermatology, 5th ed. New York: McGraw-Hill, 2005:915.)

FIGURE 17.7. Disseminated gonococcal infection. Hemorrhagic, painful pustules near
small joints of hands and feet.

(Reproduced, with permission, from Wolff K, Johnson RA, Suurmond D. Fitzpatrick’s Color
Atlas & Synopsis of Clinical Dermatology, 5th ed. New York: McGraw-Hill, 2005:910.)

Condyloma lata = secondary

syphilis.

Condyloma acuminatum =

HPV.