Primary and secondary syphilis, one of the few venereal diseases, which is difficult not to pay attention. After 2-4 months from the moment of infection pale treponema , the causative agent of the disease, begins to actively express itself, not hesitating in the forms of manifestation. The secondary period of syphilis can last for several years, under the influence of the immune system the infection takes a recurrent and latent form.
Secondary stage of syphilis - characteristic
Characteristic for the second stage of syphilis is the spread of infection throughout the body. Pale treponema with currents of blood and lymph spreads through internal organs, lymph nodes, getting into the nervous system, while causing their defeat.
The first signs of secondary syphilis - a feeling of weakness, chills, headaches, fever. Following these symptoms appear rashes.
If the secondary syphilis is fresh, then the rash is usually small, abundant, disseminated, polymorphic. Upon examination, one can detect the presence of a solid chancre. The signs of secondary syphilis relapse include rashes of a less intense nature, however, larger and located in groups.
Common signs of rashes in secondary syphilis include:
- absence of unpleasant sensations, such as itching, soreness, burning;
- the elements of the rash have a high density and a dark red color;
- as a rule, rounded;
- peeling is most often absent;
- passes spontaneously, leaving no traces and scars.
The rash that occurs with secondary syphilis can have several varieties:
- Roseous rash . The most common variant occurs in 80% of patients. Presented in the form of reddish-pink round spots, randomly placed throughout the body. More often localized on the body of a person, as a rule, does not flake and does not bulge above the level of the skin.
- Papular or nodular rash . Externally represented by a round, round papule that rises above the skin level. In the practice of venerology, papules are classified according to several criteria. In size, they differ: lenticular, prosovid, coin-like and plaque-shaped. Also, a distinctive feature is the place of the rash. Papicular eruption can be found not only on the skin, but also on the mucous membranes. These formations tend to expand and merge with each other. If the papular rash is localized in places of excessive sweating and friction, then, as a result, erosion may occur, which is a particular danger to others, increasing the chances of catching a household way from the carrier of syphilis. Even in the absence of treatment for secondary syphilis, rashes after a certain period of time pass for a while, then again appear with a new wave of exacerbation.
In addition to rashes, signs of secondary syphilis can be:
- spotted leukoderma - the appearance of discolored skin areas, up to 10 mm in size;
- hoarseness of voice;
- syphilitic alopecia - can be diffuse or small-focal.
Treatment of secondary syphilis
Treatment of this disease should be mandatory after diagnosis and laboratory confirmation. The main principle of treatment is the use of antibiotic therapy. However, she should be appointed only by an experienced venereologist. Otherwise, as well as this possibility is not excluded for secondary syphilis, the rehabilitation course may take several years. Only the test results can testify to recovery, and not the absence of a clinical picture. When re-infected with syphilis treatment is carried out again.