Post Date November, 17 2024
Syphilis is a chronic systemic infection caused by Treponema pallidum infection, mainly through sexual infection. What are the symptoms of the second stage of syphilis? With this question in mind, let's take a look at the introduction below.
What are the symptoms of secondary syphilis? The second stage of syphilis rash is an inflammatory reaction caused by the transmission of Treponema pallidum through the bloodstream to the whole body. A few days before the rash, there may be premonitory symptoms such as low fever, headache, sore throat, swollen tonsils, joint soreness, and loss of appetite. A rose spotted papule or pustular rash with a size of 41, widely distributed and symmetrical. Rashes can occur on the entire body's skin, mainly on the palms, abdomen, scrotum, penis, etc. Gray white flat warts occur in areas with wrinkles or connections between the skin and mucous membranes, such as around the anus, external genitalia, corners of the mouth, armpits, and under the breasts. The palms and toes show flesh red peeling spots. The rash has no conscious symptoms, neither pain nor itching, and can naturally disappear from one month to several months. After regression, there are no scars left, but the serum reaction is usually positive.
The period between the disappearance of the hard lower heat rash and the appearance of the secondary syphilitic rash is called the second incubation period. The second stage of syphilis usually occurs 3-4 weeks after the regression of hard scabies, equivalent to 9-12 weeks after infection. Secondary syphilis is the widespread systemic damage caused by Treponema pallidum entering the bloodstream through lymph nodes. In addition to causing skin damage, it can also invade the internal organs and nervous system.
After the disappearance of secondary syphilis rash, similar lesions occur within 1 to 2 years, which is called recurrence of secondary syphilis rash. Most of them are localized proliferative patches, such as flat warts and psoriasis, which often occur on the extended side of the limbs. Regenerative heat can also reappear in the original hard heat rash of the reproductive organs. The second stage syphilis rash appears moist, and its exudate contains a large amount of Treponema pallidum, which is highly infectious.
Syphilic alopecia is easy to occur on the top of the head, pillow and temporal part, with sparse alopecia and unclear boundary, especially worm erosion: bone and joint syphilis can cause Periostitis and arthritis, with severe pain at night and at rest, and eye syphilis with less pain during the day and activity can cause Iritis, iridocyclitis, Choroid, optic neuritis, retinitis, etc
Before the eruption of stage II syphilis, some patients (about 50% of women and 25% of men) had fever, headache, bone and joint pain, liver, spleen, superficial Lymphadenopathy, anorexia, and general malaise. It usually improves within 3-5 days, and patients often do not pay attention or mistakenly believe that it is another disease.
