Female Genital System

Spirochaetes were seen on dark-ground microscopic examination of smears from the lesions. Serological tests for syphilis were positive.
Condylomata lata.

Condylomata accuminata of the vulva

These appear as elevated warty localized lesions. They are often multiple, red-pink lesions that measure up to several centimeters in diameter

There is thickening of the epidermis (acanthosis), hyper/parakeratosis, and cytoplasmic vacuolation (koilocytosis, center).
Condyloma acuminatum