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[Clinical Picture] Liaison leads to solitary syphilitic chancre on the neck

A 47-year-old woman presented to our clinic with a 1-month history of a painful, itching, non-healing, and oozing lesion on the left side of her neck (figure). In addition to the lesion, she reported having disturbed sleep because of pain and pruritus in the affected area. The problem developed between 4 and 5 weeks after a trip to the Mediterranean coast of southern Turkey. An oral antibiotic and iodine ointment had failed to make any improvement.