Rupioid syphilis in an HIV patient.

Initially, the eruptions started as papules, which evolved into pustules and then crusted lesions. There was no history of fever, arthralgia or abdominal pain. The patient had not taken any medications for any other illness for at least 3 months before the onset of these skin eruptions. He had not suffered from any major medical or surgical illness in the past. There was no history of similar episode in the past. However, he gave history of multiple heterosexual, unprotected exposures with commercial sex workers in the past, which were not followed by urethral discharge or genital sores.