Which is more serious, syphilis or AIDS?

Written by Xiong Hong Hai
Infectious Disease
Updated on September 12, 2024
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Syphilis and AIDS, between the two, AIDS is more serious. This is because AIDS currently cannot be cured, and requires long-term regular intake of antiretroviral drugs. Syphilis, on the other hand, can be completely cured. In the early stages of syphilis, such as primary and secondary syphilis, the treatment is often very effective and also very convenient. Generally, a treatment course of two to three weeks can cure most syphilis infections. Therefore, between syphilis and AIDS, AIDS is more serious. These two diseases often occur simultaneously because both are transmitted sexually.

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Can third-stage syphilis be cured?

Third-stage syphilis can potentially be fatal, but this is not absolute. With proper and timely treatment, it can gradually improve. Third-stage syphilis is the most severe and latest stage of the disease, also known as late-stage syphilis. This stage often affects our skin, bones, cardiovascular system, and even the nervous system. When these systems are affected, corresponding complications can arise. If left untreated, late-stage complications can lead to death. However, if treated early, there is a possibility of cure over time.

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Can a routine blood test detect syphilis?

Syphilis is a contagious disease, and we cannot detect syphilis through routine blood tests, as these tests only measure elements such as the number of white blood cells, red blood cells, and platelets in the blood. Since syphilis is caused by an infectious agent, it cannot be detected through routine blood tests. It can only be detected by checking for antibodies using methods like ELISA immunofluorescence. Therefore, routine blood tests cannot detect syphilis.

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Can third-stage syphilis be completely cured?

Third-stage syphilis and late-stage syphilis generally have a longer duration, with many cases exceeding two years. Third-stage syphilis can cause damage to the cardiovascular and nervous systems, and there may be residual symptoms after improvement. However, with persistent long-term standard treatment, it is still possible to achieve a cure. Therefore, if one contracts third-stage syphilis, it is crucial to adhere to the treatment and cooperate actively with the therapy.

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What are the symptoms of AIDS and syphilis?

AIDS and syphilis infections are both long-term processes. For example, a patient with primary syphilis mainly presents with a hard chancre. This can occur at locations such as the corona of the glans penis, the urinary meatus of the foreskin, the labia, the cervix, and also can be seen on the tongue, lips, breasts, and other places. At these locations, a hard chancre appears, which is painless and itchless, and presents as a round or oval, well-demarcated ulcer. The symptoms of AIDS are primarily seen in the early stages of the disease, and include fever, vomiting, fatigue, itchy skin, nodules, joint pain, and other symptoms of decreased immune function.

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Is there a high possibility of syphilis with enlarged inguinal lymph nodes?

Enlarged inguinal lymph nodes generally suggest the possibility of syphilis, but such enlargement caused by syphilis commonly appears in the secondary or tertiary stages of the disease. In the early primary stage of syphilis, it is rare to see swollen inguinal lymph nodes; the symptoms are mostly seen on the external genitals, including soft and hard chancres. As syphilis progresses, it may gradually lead to swelling of the inguinal lymph nodes, including other superficial lymph nodes. However, enlargement of the inguinal lymph nodes alone cannot conclusively determine that the cause is syphilis. Other conditions such as bacterial lymphadenitis, lymph node tuberculosis, or lymphoma could also cause swollen inguinal lymph nodes. Therefore, to diagnose whether it is caused by syphilis, it is crucial to consider the results of syphilis serological tests and specific pathological puncture findings.