About nasal syphilis the following is true, except:

Nasal syphilis may be: Acquired: Primary, e.g. chancre in vestibule Secondary, e.g. simple rhinitis, crusting and fissuring leading to atrophic rhinitis Teiary, e.g. Gumma leads to septal perforation and saddle nose deformity (due to collapse of nasal bridge) Congenital: Early (first 3 months): Presenting as snuffles, purulent nasal discharge, fissuring excoriation. Late (around pubey): Gumma in septum and other stigmatas. Teritary syphilis is a common association: primary and secondary syphilis are rare association in nasal syphilitis. Septal perforation occurs in bony pa in case of syphilis.