What puts spots on the palms and soles?

“Rash” says the chart. “Great!”, think I, a reasonably straightforward case to end my shift.

I’m a hand-shaker of a doctor, and though I consider the case, generally I’ll shake everyones’ hand, ungloved. This is one of those times I probably should have looked before I shook.  Spots.  On the feet, too.

Yes, he’s got a healing, nearly painless lesion the size of a quarter on his member. Yes, it’s contagious this way, and yes, I washed my hands very thoroughly.

Oh, it’s secondary syphillis, for those who wondered.

cross posted to TheLingualNerve