%0 Case Reports %T Rapid progression to gummatous tertiary syphilis in a patient with HIV. %A Charlton OA %A Puri P %A Davey L %A Weatherall C %A Konecny P %J Australas J Dermatol %V 60 %N 1 %D Feb 2019 %M 29882582 %F 2.481 %R 10.1111/ajd.12860 %X Co-infection with human immunodeficiency virus-1 (HIV) and syphilis is associated with rapid progression to tertiary syphilis. This case report describes the early development of gummatous skin disease and suspected neurosyphilis in a patient with untreated HIV and approaches to treatment.