The first symptoms of syphilis in men and women
Jul 02, 2018
Syphilis is a disease that has been known to mankind for several centuries.It is not surprising that the disease itself, and its causative agent, the pale spirochete, has long been fully studied by physicians and scientists.Nevertheless, there are still cases of late diagnosis of syphilis, and why this happens and what can be considered the first symptoms of the disease in question will be described in this material.
Immediately specify that the disease in question has a sufficiently long incubation period - up to one and a half months.During this period, it is impossible to determine the presence of a pale spirochete in the body, either by external signs or even by laboratory tests of blood. Table of Contents:
Symptoms of primary syphilis
For primary syphilis, the following symptoms will be characteristic:
In the place where the pathogenic microorganism implanted into the body, there appears hard chancre, or primary syphilis.The solid chancre looks like an erosion of an oval shape and small size, maybe round in shape with slightly "raised" edges, but in any case painless.In men, primary syphilis is usually found on the foreskin or in the region of the glans penis, and in women - on the large and small labia, in the cervix, near the anus and on the rectal mucosa.Very rarely, the primary syphiloma is located on the pubic, belly or hips.There are also out-of-sex localizations of solid chancre - for example, on the fingers( more common in gynecologists), or in the language / lips / tonsils( this is a special form of primary syphiloma - chancre amygdalite).
- Exactly 7 days after the appearance of a solid chancre, the second symptom of syphilis - regional lymphadenitis - begins to appear.If the primary syphiloma is located on the genitals, then under the skin will appear mobile formations, in size and shape resembling a hazelnut or beans, and this is nothing more than enlarged inguinal lymph nodes.If the hard chancre appeared on the fingers, then lymphadenitis will be located in the area of the elbow fold, in case of lesions of the oral mucosa, the submaxillary and chin lymph nodes increase.
Note: if the primary syphiloma appeared on the cervix or rectum, then lymphadenitis will generally go unnoticed, as those lymph nodes that are located in the pelvic cavity will increase.
Another symptom that is characteristic of primary syphilis will be inherent in men - a painless "cord" with a slight thickening is formed on the back and at the root of the penis.This is what syphilitic lymphadenitis looks like.
In most cases, a hard chancre is immediately noticed by the patient, this causes his anxiety and he turns to qualified help.But there are cases when the primary syphiloma is located on the cervix of the uterus and then the primary syphilis goes completely unnoticed.
Doctors pay special attention to the fact that in no case should you try to get rid of a solid chancre yourself - for example, smear it with greenery or iodine, do some kind of lotions and appliques.Yes, after a while the hard chancre completely disappears, which causes a literally attack of joy in the patient.But in fact it simply means that syphilis has passed the primary stage of development and has safely passed into the secondary stage.
Symptoms of secondary syphilis
This stage of the considered disease develops in 2, 5 - 3 months from the moment of infection, it lasts on average 2-4 years.Characterized by secondary syphilis rashes on the skin - they will be undulating and after a couple of months they will disappear on their own.Despite extensive rashes, the patient does not worry about itching or fever. The rash in secondary syphilis is of the following types:
- papular - on the skin appear pink, turning into cyanotic-red nodules, pimples that resemble a pea in size;
- pustular - the patient will have pustules, which are located on a dense basis.Such pustules often ulcerate and become crusted, and after their disappearance, scars remain on the skin;
- is rosetose - on the skin appear pink plaques of rounded shape.
In secondary syphilis, different kinds of rashes can appear on the skin of the patient simultaneously, but in any case they contain a large number of syphilis pathogens( pale spirochetes) and are very contagious.The first wave of rashes differs in intensity, severity and is always accompanied by an increase in lymph nodes - in medicine this stage is classified as secondary fresh syphilis.Later eruptions( the second wave) differ in pallor, are asymmetric and most often in areas that are constantly irritated( genitalia, axillary cavities, inguinal folds) - in medicine this stage is classified as secondary recurrent syphilis.
In addition to the characteristic rash, the following manifestations will be characteristic for secondary syphilis:
- Alopecia.This is a hair loss, which can be focal or diffuse.In the first case, bald spots appear on the back of the head or temples, and when diffuse alopecia hair falls evenly throughout the head, eyebrows, eyelashes and beards suffer.
- Syphilitic leukoderma.In the region of the neck, on the abdomen, limbs and lower back appear whitish spots up to a centimeter, which are especially clearly visible in side lighting.
Note: unlike rashes, these signs of secondary syphilis do not disappear on their own, in many cases even intensive treatment gives only a short-term result.
Unfortunately, even signs of secondary syphilis do not always force the patient to seek qualified medical care.Eruptions are taken for normal allergy, it is treated independently, and relapses of secondary syphilis and do not go unnoticed.If a person refers to the described symptoms disorderly, then literally in 3-5 years from the moment of infection syphilis passes into the tertiary period of its development, and he already presents a real danger to the life of the patient.
A pale spirochete lives safely in the human body without provoking itching or burning, fever or intoxication.The patient does not seek medical help, and in fact he is infectious, syphilis will be transmitted not only through sexual intercourse and eventually a large number of people enter the circle of patients of the dermatological-venereological dispensaries.
If you have ulcers or rashes on your skin, you need to see a doctor urgently, because only a specialist can make an accurate diagnosis and prescribe an adequate treatment.And in the case of syphilis, every day, literally.
Samsonov Igor, urologist