For secondary syphilis, macular syphilide and maculopapular syphilide were easily misdiagnosed as pityriasis rosea or dermatitis. A 6-year-old boy had papules and maculopapular eruption with scattered nodule and keloid-like lesions on the face, trunk and extremities. 二期梅毒斑疹及斑丘疹易误诊为玫瑰糠疹、过敏性皮炎等;患儿男,6岁。