Leucomelanoderma in early syphilis.

Case Report A 40-year-old priest presented with asymptomatic depigmented and hyperpigmented areas on the palms and the soles of 2i years' duration. The depigmented lesions on the palms had developed first and a month later hyperpigmented lesions appeared nearby. New lesions gradually involved the skin of the backs and sides of the hands and the flexor surface of the wrists. Similar lesions appeared on the insteps of both feet 6 months later. The patient was unmarried and gave a history of multiple sexual exposures over the past 3 years. He denied having had any previous skin rash or sore on the genitalia.