This picture presented with a swollen scrotum. And usually appearing during late-staged, tertiary syphilis, gummas, or gummata are a mass of dead and swollen fiber-like tissue representing a localization of T. pallidum bacteria, which can form in the liver, brain, testis, heart, skin, and bone.
The gummatous center appears as a rubbery, grayish white region of necrosis.
They can manifest as microscopic or large, macroscopic necrotic lesions. Syphilis is known as the “great imitator”, for its manifestations often resemble other disease processes.
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