“…Since then, various studies have revealed altered presentations in HIV‐afflicted syphilis patients. These include multiple, extensive chancre, 61 ulcerating secondary syphilis, 62 gummatous lesions, 63 unusual manifestations of neurosyphilis 64 and rapidly developing cases of ocular syphilis 65 and syphilitic aortitis 66 . HIV‐infected patients were found to present more often in the secondary stage and those with secondary syphilis were more likely to have persisting chancres 67 .…”