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common caseload presented an increased frequency of secondary and latent syphilis, the most The clinical presentations in the presence of HIV infection5,27. Likewise, the presence of multiple genital ulcers and in primary and secondary stages (diagnosed in one case) are reports more frequently in HIV+ individuals2425. Immunological alterations induced by HIV could account for the rapid dissemination of treponemes from the primary lesion and the early appearance of secondary lesions. Cutaneous manifestations were those classically described17. However, the florid clinical picture frequently called our attention in this series, consistent to observed by other authors in relation with the manifestations of secondary syphilis in association with HIV infection13. Bone alterations, although rare, can be present in secondary syphilis, as observed concurrent one case of osteochondritis. Sporadic cases of cranial and ulnar osteitis have been described in HIV+ patients11,14.