“…Its use stems from initial descriptions of non-venereal treponematoses such as yaws. 38 It has been used to describe nodular, vegetating, ulcerated, keratotic verrucous or moist syphilitic lesions. 39,40 They can involve the scalp and the face, with a predilection for the periorificial region, 39,41 neck, trunk, extremities, genital area, 40 and palms, 42 or may be limited to the scalp.…”