Post Date November, 16 2024
Syphilis is a very common infectious disease, and patients usually have many symptoms. It is important to understand the symptoms of the disease, not to relax the vigilance of this disease, and seek timely treatment.
What are the symptoms of syphilis at different stages?
1. The prominent symptoms of primary syphilis are prickly heat and syphilitic transverse. Hard scabies refers to the inflammatory reaction that occurs in the invaded area of spirochetes, manifested as erythema, erosion, or shallow ulcers. It is generally solitary and lacks conscious symptoms. It is easy to detect in males in the genital area, but difficult to detect in females when it occurs in the vagina and cervix. Syphilic transverse chancre refers to the enlargement of lymph nodes near hard chancre, without suppuration, with a hard texture and a longer duration.
2. The second stage of syphilis occurs 6-12 weeks after the onset of subdermal heat rash, mainly in the skin and mucosa, and occasionally can invade the bone arm, nerves, etc. Some patients often experience systemic symptoms before erupting, such as headache, low fever, general discomfort, joint soreness, loss of appetite, and enlarged tonsils. The second stage syphilis rash has a variety of manifestations and can simulate the damage of various skin diseases. It has insufficient symptoms and can self resolve without treatment, making it very easy to misdiagnose clinically.
3. Phase III syphilis can present with skin and mucosal manifestations, as well as invade the cardiovascular and nervous systems. In recent years, due to the widespread use of antibiotics, typical skin and mucosal manifestations of stage III syphilis have become very rare. Cardiovascular syphilis can cause syphilitic arteritis, aortic valve insufficiency, aortic aneurysm, syphilitic coronavirus infection, myocarditis, etc. Syphilis in the nervous system can cause spinal tuberculosis and generalized paralytic dementia, as well as cerebral vascular accidents, meningitis, etc.
What complications can syphilis cause?
1. Syphilic alopecia: Sparse hair loss is prone to occur on the top of the head, pillow, and temporal area, with unclear boundaries, especially in the form of insect erosion.
2. Bone and joint syphilis: Suffering from periostitis and arthritis, with severe pain at night and rest, and mild pain during the day and during activities.
3. Eye syphilis: It can cause iris inflammation, iridocyclitis, choroiditis, optic neuritis, retinitis, etc. It can also cause neurosyphilis, liver syphilis, stomach syphilis, etc.
4. Oral ulcers: Approximately 5% of patients with cumulative 80% or more experience systemic shower swelling, and approximately 10% experience eye inflammation. Asymptomatic inflammation of the eyes, occasional swelling of the optic nerve, and blurred vision occur in about 10% of patients with osteoarthritis and tingling. Nephritis can present as egg white urine, and jaundice can be caused by hepatitis. A small number of patients can cause acute syphilitic meningitis and other meningitis, headache, neck stiffness, and deafness.
