Rupioid syphilis in a HIV patient

Pustular secondary syphilis: report of three cases and review of the literature

“…Pustulo‐ulcerative crusted (rupioid) syphilis presents with pustules and papules that are covered by thick oyster‐like crusts. This form of syphilis is often accompanied by systemic involvement …”

“…Pustular syphilis is a known manifestation of secondary syphilis and is thought to be exceedingly rare. Descriptions of the disease are found in a limited number of case reports, most of which come from developing countries . Failure to recognize the disease can have devastating consequences.…”

Rupioid lesions, PLEVA and superposition phenomenon in malignant syphilis: two case reports in HIV‐infected patients

“…The term rupioid has been used to describe well‐demarcated, cone‐shaped plaques with thick, dark, lamellate and adherent crusts on the skin that somewhat resemble oyster or limpet shell. In our case, the treatment was made with benzathine penicillin, but in inflammatory diseases, the treatment is made with steroids and/or immunobiologics …”

Appearances in clinical dermatology

“…The crust may be discolored with altered blood. [69] Paddy hair or plugged hair appearance: This is a term used for the unnatural appearance of larger hair grafts which were typical of the early days (1970s) of hair transplantation in which 4-5 mm punch grafts were used to cover excessively large bald patches, resulting in a "pluggy" appearance likened to the hair on inexpensive plastic dolls. [70] Paper money appearance of skin (dollar-paper markings) Paper money skin is a superficial vascular disorder commonly seen in patients having chronic alcoholic hepatic disease.…”