Syphilis in women - symptoms, first signs, diagnosis, treatment
- primary period: the appearance of the chancre;
- secondary period:generalized rash in the form of spots, nodules and ulcers;
- tertiary: deep gum in all the internal organs.
The first signs of syphilis in girls
The main feature of the chancre, which distinguishes it from other ulcerative lesions is painless.
Primary syphilides usually has a round or oval shape and the size of a small coin. However, when placed in the folds of the mucous membrane, for example, in the language, it can be like crack.
In almost all cases, chancre single, very rarely a few small chancre near each other. To touch lose hard (as cartilage). Its edges rise above the surface. The ulcer itself has a bright red color, but frequently covered with a greasy coating.
A week after the first signs of syphilis in women increased nearby lymph nodes. They, as well as the chancre, painless.
Primary syphilides disappear 6-8 weeks after the appearance. It is replaced by a multiple generalized rash on the body, which signals the beginning of the next period.
Diagnosis and treatment in the primary period
To diagnose the disease in this period, it is not enough to find its manifestation. It is necessary to determine the presence of Treponema pallidum objectively. They take a swab from the surface of the chancre, which is then examined under a microscope. In addition, a serological Wasserman, detect antibodies to the Treponema in the blood. However, it becomes positive only on the third week from the onset.
The sooner you start treatment, the higher the probability of a quick and full recovery. Upon detection of symptoms of syphilis in women definitely examined her sexual partners, who must also pass a preventive course of antibiotics.
Do not take a chancre as a distinct disease and to treat its local lotions and ointments. It is absolutely not effective. Syphilis is treated only by injections or tablets.
How does female syphilis in the secondary period
The second period of syphilis in women is marked by the appearance of lesions all over the body. They are polymorphic, and presented spots (roseola), nodules (papules) and abscesses (pustules). If these symptoms appeared for the first time, there is a secondary fresh syphilis. After 2-3 months the rashes fade and disappear. After a while all the signs are back, then talk aboutsecondary recurrent syphilis.
For fresh process is characterized by the following symptoms:
- bright red rash;
- elements small and a lot of them, are arranged symmetrically;
- the absence of a tendency to merge;
- over time the rash pales and disappears without a scar;
- no peeling.
Recurrence is typical:
- rash dark (copper color);
- the major elements and less than fresh process;
- prevail papules;
- rash grouped with the formation of patterns and garlands;
- asymmetric location;
- peeling at the edges sifilide (collar Byetta).
Before the first appearance of the rash in women may occur malaise with rise of temperature. Also, there is a severe reaction of the lymph nodes throughout the body. Appears poliadenit, the lymph nodes increase, but remain soft and painless. The second period in the absence of treatment can last 3-5 years, while Treponema will not apply in all internal organs.
Diagnosis and treatment in the secondary period
Treatment in the second period usually requires a hospital stay. It explains not only what the patient needs injections every few hours, but the fact that there is a very high risk of infection of others.
For the treatment most often used water-soluble antibiotics, the effect of which is enhanced by conducting immune stimulation. Spotted locally, the elements are treated with a solution of penicillin and antiseptics. If the patient has penicillin Allergy or pathogen resistant to them, use reserve antibiotics (tetracycline, azithromycin, gentamicin).
The symptoms and treatment of tertiary syphilis in women
This phase of the disease can immediately follow the previous one, if the patient's immunity is reduced. But in the absence of other pathologies it may not occur.
The first symptom of transition of the disease in the terminal phase is the emergence of on the skin tubercles and Gumm. Moreover, the tubercles are multiple and small. And gum (knots) unit, have large dimensions and are located in deep tissues. Tubercles and gum decay over time, turning into ulcers. The ulcers heal with formation of a deep drawn stellate scar.
Unlike secondary tertiary syphilides contain only small amounts oftreponemes, and therefore almost not contagious.
Formed after them scars greatly deform the organs and tissues. So, the decay of gum, located in the thickness of the hard palate, may form a message of the mouth with the nasal cavity. And in the formation of gum in the nose may be almost complete destruction of the nasal bones. The same occurs in the tissues of all organs, which dramatically impairs their function and leads even to death.
Apart from a few repeated courses of injections of penicillin to patients with a tertiary process prescribe drugs bismuth or iodine. Using the Immunostimulants increase resistance to disease. In addition, in this phase of the disease requires symptomatic treatment all affected by Gumm of the internal organs (liver, kidney, brain) to maintain their function.