You all recognize that syphilis could be a disease, which will be transmitted by sexual contact in nearly all the cases. It is an infectious disease, contagious, whose evolution is chronic, intermittent. It is transmitted through genital contact, terribly rarely via alternative suggests that and it will have an effect on any tissue or organ.
Primary syphilis represents the invasion stage, that begins at the infecting contact and it is not remarked sometimes. Sometimes it will be noticed from the anamnesis a contact with an ill person with one - eight weeks before. The standard lesion is represented by the chancre at the doorway, the most frequently the penis, the labia, or the uterine cervix.
The incubation takes on average 21 days, and it depends on more factors. The chancre begins with slight erosion, which changes rapidly into a superficial, painless ulceration. It's amid hypertrophy of regional ganglions, that are isolated, mobile, and painless.
Secondary syphilis represents the dissemination amount; it emerges at seven - 10 weeks after the infecting contact and at two - 3 weeks since the prevalence of the primary syphilis sign, in the identical time with microbes' migration from ganglions where their range is massive into circulation. A second incubation follows until the emergence of the primary skin lesions, that occur after regarding forty five days since the first sign incidence and 60 - seventy days since the infecting contact.
It is generally accompanied by fever. Virtually any tissue of the body can be accidentally caught and hurt. But, the most frequent can be the lesions of the teguments and mucous membranes. Lesions on teguments are pustules like elements even if the foremost frequent rash looks like viral skin disease.
Recurrent syphilis happens once insufficient or incorrect treatment. In this case, secondary syphilis can emerge again (in three to 9 months once treatment). Relapses can be only serologic, without any clinical manifestations. If clinical manifestations still occur, they can be skin and mucous membranes lesions, neurological symptoms, sore eyes, bones affections or visceral ones.
Latent syphilis represents a relaxed stage from clinical purpose of read, between secondary lesions resorption and tertiary symptoms emergence.
During this stage, the serologic reaction is positive, the LCR exam is negative; the radiological and clinical exam and also the ECG highlight potential cardiovascular lesions.
Tertiary syphilis or the third stage will occur even after years of latency. Late lesions represent probably an aversion of tissues at Treponema Pallidum and it will have an effect on tissues like skin and mucous membranes. During this case, on the skin will occur tubercles formations, tubercles and ulcerate as well as nodules. On the opposite hand, mucous membranes can gift tubercles and ulcerate lesions.
Congenital syphilis will be transmitted nowadays from mother to fetus, via fetus placenta flow, thus during the baby's intrauterine life. It cannot be transmitted from the daddy if the mother is healthy.
Precocious congenital syphilis is that the sort with which the kid is born or it happens during the primary 2 years of life. It is characterised by blister like signs, generally ulcerous.
Late congenital syphilis happens once the age of two and also the lesions are associated to the third stage of disease.
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