Cutaneous leukocytoclastic vasculitis as the first manifestation of malignant syphilis coinfected with HIV

Malignant syphilis, also known as Lues maligna or ulceronodular syphilis, is a rare form of secondary syphilis mainly characterized by polymorphous, disseminated, and papulonodular cutaneous lesions, typically ulcerated and covered by rupioid crust ¹.

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