Projects

A 26-year-old man presented with complaints of asymptomatic scaly rashes on the palms and soles for 20 days. He was treated elsewhere with topical steroids but had no improvement. He gave a history of unprotected intercourse with multiple male partners over a period of 2 years. There was no history of skin rashes, oral or genital ulcers. Examination showed multiple well-defined hyperpigmented plaques with peripheral collarette of scaling on the palms (Fig. 1) and on insteps of both the feet (Fig. 2). Oral mucosa, genital mucosa, perianal area, and scalp were normal.