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PART 8: Infectious Diseases
SECTION 9   Spirochetal Diseases

169 Syphilis
Sheila A. Lukehart

Figure 169-1  Estimated annual new cases of syphilis among adults, 1999. (Courtesy of the World Health Organization.)
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Figure 169-2  Primary syphilis with a firm, nontender chancre.
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Figure 169-3  Secondary syphilis. Left: Maculopapular truncal eruption. Middle: Papules on the palms. Right: Papules on the soles. (Courtesy of Jill McKenzie and Christina Marra.)
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Figure 169-4  Algorithm for interpretation of results from syphilis enzyme immunoassays (EIAs) used for screening. RPR, rapid plasma reagin; VDRL, Venereal Disease Research Laboratory; TPPA, T. pallidum particle agglutination; FTA-ABS, fluorescent treponemal antibody–absorbed.
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