SYPHILIS
Syphilis
Stages of a syphilis
Symptoms of a syphilis
Treatment of a syphilis
Analyses on a syphilis
Questions and answers






Symptoms of syphilis

Symptoms of syphilis of the primary

The symptom of syphilis of primary period is solid chancre - spot of red color, which is converted into the papule, then - into the erosion or the ulcer. Solid chancre is one of the important it is indicative syphillis of the first stage. Solid chancre has clear boundaries, in the overwhelming majority of the cases - in the base it palpates packing - infiltration, the signs of inflammation be absent. The painlessness of primary syphiloma is one of the symptoms of syphilis.

The signs of syphilis are the ekstragenital'nye chancres, located in perianal region, on the lips, language, on the fingers, in the region of mammary gland. The symptom of syphilis is also regional it skleradenit - an increase in the regional (adjacent) lymphatic it is main, with the palpation they plotnoelasticheskoy consistency, they are painless. Specific lymphangitis is the third symptom of syphillis - lymphatic vessel palpates in the form of the elastic belt, painless with the palpation. Now this sign of syphilis does not have diagnostic significance.
The untypical symptoms of syphilis of the first stage include the atypical solid chancres:

  • indurativnyy edema - appears in the region of sexual term, scrotum, extreme flesh, the sexual lips, the clitoris, the neck of womb. This symptom of syphillis is characterized by the expressed density of cloth, with the pressure the pit is not formed, the skin of red color with the cyanotic nuance;
  • chancre- panaritium - most frequently is located on the indicating finger, is characterized by packing of cloths, by formation of erosion or ulcer, by sharp sickliness;
  • chancre - amygdalite relates to the atypical signs of syphillis and is characterized by an one-sided increase in the almond, ulcer is absent. Its complications are the symptoms of syphilis of primary period: balanitis, balanopostit; phimosis, paraphymosis; gangrenizatsiya, fagedenizm, that lead to the irreversible consequences.

Symptoms of syphilis of the second Syphilis (syphilis- osh.) second period it is manifested in the form of precipitations on the skin and mucous membranes. The signs of syphilis of this stage are diverse. The symptoms of syphilis of second period include the rozeoleznaya rash: the spots of pink color located disorderly or are grouped into the semirings and the rings, it is most frequently located on the body.

The sign of syphilis is syphilitic leykoderma - it appears through half a year after infection, more frequent in women, it is located on the rear and side of neck, it is characterized by the appearance of the hyper- and hypoed-pigment spots.

Papules are the symptom of syphilis, they can appear after the appearance of spots.
Syphilitic papules are distinguished by the size:
miliary millet grain;
lentikulyarnye - 0,5 cm in the diameter;
nummulyarnye - 2-2,5 cm in the diameter. The signs of syphilis of the second stage include the wide condylomas, which are formed as a result of maceration and irritation in the perianal, mezh"yagodichnoy regions and the paxovo- femoral folds. Wide condylomas must be differentiated with the pointed condylomas, caused by the group of the viruses of papillomy (papilomy - osh.) man.

The symptoms of syphillis are also the papules, located on the palms and the soles, on the fibrous part of the head, on the mucous membrane of oral cavity - in the language, on the almonds, before the sky, on the lips. Hoarseness of voice up to aphonia because of the arrangement of papules on the vocal chords is the pathognomonic symptom of syphilis of this period.

The sign of syphilis of second are the pustulous syphilides, which are appeared more thinly than examined higher. Pustulous elements appear in patients with the lowered immunity, with the association of syphilis with VICH, by hepatites v and s, by the infections, transferred through sex - by khlamidiozom, gonorrhea, ureaplazmoy, by mycoplasma.

Alopecia ( baldness), is the symptom of syphilis of second recurrent, it is characterized by precipitation of eyebrows, eyelashes, hair on the head, in the armpits and on the pubes.

Symptoms of syphilis of the tertiary

The symptoms of syphilis of tertiary period are developed in 3-5 years in untreated patients or those received defective treatment.

The signs of syphilis of this stage are:

  • Erythema is tertiary - ring-shaped form of the spot of pink color from 5 to 15 cm in the diameter without the subjective sensations, that are concluded with atrophy;
  • Bugorkovyy sifilid - protuberances of dark red color, with size from the hemp grain to the pea, that is resolved by the appearance of an ulcer, and then a scar.
  • Gummy sifilid - formation of gummas with the subsequent formation of ulcer and scar. Gummas can be formed on the mucous membrane of nose, before the solid and soft palate, language and lead to the irreversible injuries.

The symptoms of syphilis of visceral they are the defeat

  • the liver - symptoms of the hepatite (rarely);
  • stomach - symptoms of gastritis;
  • warmly - vascular system - general weakness, pain in the region of heart, shortness of breath, palpitation, the aneurysm of aorta, myocarditis;
  • lungs - development of granulomas;
  • kidneys - appearance in the urine of protein.

Signs of syphilis of the nervous system

  • Asymptomatic syphilitic meningitis - the clinical signs of syphilis be absent, the positive serological reactions of the blood and pathologic cerebro-spinal fluid; Acute generalizovannyy meningitis;
  • Basal meningitis;
  • Syphilitic hydrocephalus;
  • Early and late meningovascular syphillis;
  • Syphilitic meningomiyelit;
  • Spinal tabes, which is accompanied by the disorders of urination, defecation, by the development of blindness;
  • Progressive paralysis - syphilitic psychosis, with the development of dementia.
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