(1) Even without a confirmatory rapid plasma reagin test or darkfield examination of the gummatous discharge, the diagnosis of secondary syphilis was obvious.(2) Tertiary or late syphilis is classified into gummatous syphilis, cardiovascular syphilis, and neurosyphilis.(3) Many patients advance to tertiary syphilis with cardiac, neurologic, and cutaneous gummas , which are painless nodules, asymmetrically distributed in groups on the face and trunk.(4) If you have late syphilis, you may develop gummas (say: gum-mahs).
