Active sites of granulomatous inflammation called gummas are a complication associated with:

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Gummas, which are areas of granulomatous inflammation with necrosis, are a complication of tertiary syphilis. They can occur in various organs and tissues such as skin, bones, liver, and lungs. Primary and secondary syphilis do not typically involve gummas, while congenital syphilis may present with bone abnormalities but not specifically with gummas.

Active Sites of Granulomatous Inflammation Called Gummas Are a Complication