Effects of secondary and congenital syphilis. A. Typical presentation of secondary syphilis with a rash on the palms of the hands. B. Same rash on soles of feet. C. Hutchinson’s teeth in child from congenital syphilis. D. Nickel and dime lesions on chin from secondary syphilis. E. Reddish papules and nodules over much of back due to secondary syphilis. F. Condylomata lata on anus from secondary syphilis.