The first manifestation of the scheme and course of syphilis
This lack of symptoms of the disease is the most dangerous because neither the patient himself nor his surrounding do not realize about pathology. And this leads to advanced forms of the disease and its wide spread.
Scheme of course of disease
- Primary: in place of the introduction Treponema mucosa or, less commonly, on the skin is a chancre. Increase nearby lymph nodes.
- Secondary: the emergence of a generalized polymorphic rash in roseola, pustules and nodules with a simultaneous increase of all the lymph nodes. Later joined by symptoms such as vitiligo and alopecia.
- Tertiary: in the thickness of soft tissues and bones develop bumps and knots that disintegrate with the formation of a crater ulcers.
The first manifestation of syphilis
The first sign of disease appearance is firm to the touch rounded ulcer (chancre) at the site of penetration of Treponema. It can be both mucosa and skin of the genitals and the mouth or rectum. The ulcer has a cold color and is covered with a white greasy coating. Its edges are curved (like a saucer) and the size ranges from 2 mm to 2 cm.
Chancre persists for about 2 months, then slowly fades and disappears without a trace.
Due to the fact that the chancre does not bring the patient any symptoms of pain or itching, it may be invisible to its owner. Diagnosis is especially difficult when placing it in the vagina or inside the urethra. A week after manifestation of the first symptom starts swelling of the regional lymph nodes. But it does not bring much inconvenience, which at this stage, the infected rarely seek help.
How is the disease in the second period
For the second period is characterized by alternation of acute course of syphilis chronic. For the first time, a body rash may occur immediately after the disappearance of the chancre, or after some time. Fresh secondary syphilis manifests itself bright color of the rash and its large number of.
Spotted among the elements is dominated by the macula, which is also called roseola. They do not peel and do not merge, being located symmetrically on the exposed parts of the body. Clinical manifestations of syphilis in the fresh process complemented by the sharp reaction of all lymph nodes with a possible increase in temperature.
Then, after disappearance of the rash and remission of secondary syphilis recurs. But this time it is not as sharp, temperature and poliadenit anymore. The rash appearsdark red stagnant nodules that rise above the rest of the skin. The same signs are observed on the lining of the mouth.
Other external signs of the secondary period
A common symptom of the secondary period can be considered as alopecia areata – patchy baldness.
Also on the skin of the posterior surface of the shoulders and neck appear white spots. This depigmentation is associated with the penetration of Treponema in the nervous system. Because of the location spots in the chain is a manifestation of syphilis called "necklace of Venus". Often it manifests itself in women, and may persist for years even after recovery of infection.
With each subsequent relapse of syphilis rash becomes less, but joined by purulent pustules, similar to ordinary acne. All elements of the lesions in this phase are highly contagious. And transmitted Treponema can not only sexual partners of the patient, but also everyone who uses common things (towel, toothbrush, utensils).
The symptoms of tertiary syphilis
This phase of the disease usually manifests itself after 3-5 years after the first lesions. During this time, Treponema fully penetrates into the internal environment and organs are starting to form there specific granulomas – lumps and large nodes (gum). These same symptoms can also occur on the skin along with the remnants of the rash is characteristic for the previous period.
Tubercles and gum exist in about a month, then break down to form a deep crater ulcers. When the ulcers heal, remains inverted star-shaped scar.
In this period affects all organs and systems, their anatomical structure and functions is strongly violated because of the numerous granulomas.
From external manifestations of syphilis this phase is characterized syphilitic dysphonia associated with disorders of the vocal cords and tongue. Patients often destroyed the hard palate and bones of the nose, progressing alopecia. Often, when the destruction of the Gumm injured major vessels, leading to profuse bleeding and death.