How long does it take to cure third-stage syphilis?

Written by Zhu Zhu
Dermatology
Updated on September 04, 2024
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Third-stage syphilis is the most severe stage of the disease. It generally damages the nervous system and cardiovascular system of the human body, thus having a significant impact. There is no definite timeline for the cure of third-stage syphilis. The treatment of third-stage syphilis primarily involves controlling the condition with medication; there is still no specific method that can completely cure it thoroughly. Therefore, it is necessary to take medication for a long period. Currently, for treating third-stage syphilis, procaine penicillin is generally chosen for patients. In fact, procaine penicillin mainly helps effectively control the syphilis spirochete.

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Written by Luo Hong
Dermatology Department
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Gonorrhea and syphilis symptoms

Gonorrhea infection, if in males, generally presents with significant urethral irritation including symptoms such as urethral discharge, frequent urination, urgent urination, and pain during urination. However, in females with gonorrhea, it may cause increased vaginal discharge and an unusual odor, but many women with gonorrhea do not exhibit any symptoms. As for syphilis, if it is primary syphilis, ulcers may appear on the genitals, lips, or other body parts, known as chancres. In typical secondary syphilis, pinkish-red rashes may appear on the palms of the hands and soles of the feet, usually without itching, although rashes may also occur on the trunk and might not be itchy. Additionally, many cases of syphilis remain latent and show no clear symptoms.

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Written by Liu Jian Wei
Obstetrics and Gynecology
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Can a cervical biopsy detect syphilis?

Cervical biopsy is used to examine cervical lesions. Patients with bleeding or irregular vaginal bleeding should undergo cervical cancer screening, generally starting with a TCT and HPV test, or a cervical biopsy if cervical lesions are suspected. If there are abnormalities in the TCT or HPV test, a cervical biopsy may be needed. Cervical biopsy is a test for cervical cancer screening, while syphilis testing must be done through serological testing. A cervical biopsy cannot detect the presence of syphilis, as these two tests are unrelated; therefore, a cervical biopsy cannot determine the presence of syphilis.

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Written by Wang Chun Mei
Pulmonology
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Is bronchial asthma caused by syphilis?

Asthmatic bronchitis is not caused by syphilis; it is closely related to environmental factors in clinical settings and may also be caused by physical and chemical factors. Additionally, many patients may have asthmatic bronchitis due to genetic factors. Clinically, syphilis is classified as a sexually transmitted disease. The lesions caused by syphilis can be systemic or localized, primarily presenting with clinical discomfort symptoms related to the skin or other organs. In patients with asthmatic bronchitis, the condition typically involves specific inflammatory changes in the trachea, indicating that asthmatic bronchitis is not caused by syphilis.

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Written by Luo Hong
Dermatology Department
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Can syphilis be completely cured?

Syphilis can generally be completely cured nowadays, except neurosyphilis which is somewhat harder to treat, as ordinary syphilis is curable and neurosyphilis may relapse occasionally. However, most current cases of syphilis fall into categories of latent, primary, or secondary syphilis. Tertiary syphilis is less common, and forms such as neurosyphilis and osteal syphilis belong to this stage. Therefore, when treated at a regular hospital with a standard treatment regimen, primarily using penicillin, administered as a long-acting intramuscular injection once a week, the recommended course of treatment usually consists of three to four weeks. If there is an allergy to penicillin, doxycycline can be used as an oral substitute for half a month.

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Written by Xiong Hong Hai
Infectious Disease
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Which is more serious, syphilis or AIDS?

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.