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Secondary Syphilis — NDEB AFK MCQ

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ModerateOral PathologySecondary SyphilisNDEB AFK

Which oral finding is most characteristic of secondary syphilis?

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Correct answer: EMucous patches (snail-track ulcers)

Secondary syphilis (occurring 6-8 weeks after the primary chancre) presents with mucous patches (snail-track ulcers) on the oral mucosa — painless, shallow, grey-white erosions with erythematous borders. Maculopapular skin rash (palms and soles), condylomata lata, and lymphadenopathy are also present. The primary chancre is the hallmark of primary syphilis. Gumma occurs in tertiary syphilis. Hutchinson incisors are a sign of congenital syphilis.

Reference: Neville – Oral and Maxillofacial Pathology, 4th ed., 2016