'Check palms and soles', warns doctor on secondary syphilis

An Australian sexual health expert has shared a recent case to alert GP to the subtle signs of second-stage disease

An Australian sexual health expert is urging GPs to watch for subtle signs of secondary syphilis, after reporting the case of a patient who missed the tell-tale lesions on his hands and feet.

Dr Yasmin Hughes, from the Western Sydney Sexual Health Centre, says the 30-year-old man from Papua New Guinea presented with a two-week history of non-pruritic scrotal rash. 

The man, who had a history of IV drug use and imprisonment, denied any related genitourinary, dermatological or systemic symptoms, she wrote in BMJ