Doctors have shared a picture of a young woman's hand and say they spotted the first signs of a sexually transmitted disease.
The woman had visited A&E after suffering from aches and pains as well as trouble with her ankle and a fever.
But medics soon noticed she also had blisters on her hands, with further investigation revealing similar marks on her ankles, armed, legs, torso and scalp.
When she told them she had slept with someone two weeks before without a condom they put the pieces together - and diagnosed gonorrhoea. This is the 'monstrosity' Tesco served a customer who thought he was getting eggs Benedict
Staff say the woman also had swollen ankles and the symptoms indicated a Neisseria gonorrhoeae bacteria infection - which has been treated with antibiotics.
Dr Melissa Mauskar, writing in the New England Journal of Medicine, said: "At three months of follow-up, the patient was feeling well, with no recurrence of skin lesions or joint pain."
What is Gonorrhea?
78 million people are diagnosed with gonorrhoea every year across the world, and those aged 15 to 24 are most at risk.
In 2017 there were 44,500 cases in the UK.
Left untreated the infection can spread through the body, leading to a potential skin rash, lesions or blisters.
Swelling and joint pain are other common symptoms along with pain whike urinating and white, green or yellow discharge from the genitals.
There can also be bleeding.
The infection can also be passed from a pregnant woman to her baby. If you're pregnant and may have gonorrhoea, it's important to get tested and treated before your baby is born.
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Without treatment, gonorrhoea can cause permanent blindness in a newborn baby.
Gonorrhoea is not spread by kissing, hugging, swimming pools, toilet seats, or sharing baths, towels, cups, plates or cutlery. The bacteria cannot survive outside the human body for long.
Treating gonorrhoea
Gonorrhoea is usually treated with a single antibiotic injection and a single antibiotic tablet. With effective treatment, most of your symptoms should improve within a few days.
It's usually recommended you attend a follow-up appointment a week or two after treatment so another test can be carried out to see if you're clear of infection.
You should avoid having sex until you've been told you no longer have the infection.
Previous successful treatment for gonorrhoea does not make you immune to catching it again.
Read more about how gonorrhoea is treated .
