Journal of Skin and Sexually Transmitted Diseases
Snail track ulcers of the oral mucosa: An iconic sign of secondary syphilis
By Ramji Lal and Priyanka Kumawat -.
Abstract
A 26-year-old male presented to the sexually transmitted disease outpatient department with a complaint of a painless oral lesion of 2-week duration.He reported a history of unprotected sexual intercourse 3 months prior, followed by the development of a solitary, painless penile ulcer that resolved spontaneously within 1 week.On examination, multiple erosions with a dull red base and grayish slough were observed over the hard palate, extending posteriorly to involve the soft palate.ese lesions were confluent in areas, forming serpiginous margins and producing a characteristic "snail track" appearance.e lesions varied in size, with the smallest measuring 0.5 × 0.5 cm and the largest 3 × 1.5 cm [Figure 1].Examination of the genitalia and other extragenital
Keywords
- Syphilis Diagnosis and Treatment
- secondary syphilis
- oral lesions
- serpiginous ulcer
- penile ulcer
- sexually transmitted infections
- syphilis diagnosis
- Open access
Source
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