Laryngeal syphilis is much less common than that of the nose or throat infection. Very rarely the larynx is affected by congenital syphilis. In rare cases with syphilis of the larynx, the primary affect (chancre) is localized on the epiglottis and aryepiglottic fold, where the pathogen comes from an external source with saliva.
In the primary period, there are enlarged epiglottis and aryepiglottic folds, as well as ulcers on the surface, regional lymphadenitis. Painless, densely elastic consistency enlarged lymph nodes are disintegrated with the formation of an external fistula.