How should tertiary syphilis be managed?

Written by Zhu Zhu

Dermatology

Updated on September 05, 2024

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The treatment and management of tertiary syphilis is a challenging process since it is a late stage of the disease, affecting the skin, bones, mucous membranes, cardiovascular system, nerves, and potentially triggering diseases in various bodily systems.

For managing tertiary syphilis, it is recommended to consume high-protein and high-vitamin foods such as apples, bananas, green vegetables, and radishes. It is crucial to seek timely medical treatment at a hospital and address any complications that arise, which can help in gradually managing and alleviating the condition of tertiary syphilis.

Other Voices

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Written by Huang Ling Juan

Dermatology

1min 4sec

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How to determine if you have syphilis

To determine if one has syphilis, initial assessments should integrate clinical symptoms, including the presence of a chancre and syphilis rash. Subsequently, it is advised to visit an accredited hospital to undergo serological testing for syphilis, which involves the detection of both specific and non-specific antibodies of syphilis. A comprehensive evaluation of these findings can assist in diagnosing whether one is infected with syphilis. Once syphilis is confirmed, it is crucial to commence systematic and standardized treatment promptly. Generally, if both the syphilis-specific antibody test and the non-heated treponemal pallidum particle agglutination test are positive, these indicate an active syphilis infection. Treatment should be sought at a reputable medical facility, promptly utilizing penicillin for standardized treatment. If there is an allergy to penicillin, tetracycline antibiotics can be considered as an alternative.

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Written by Huang Ling Juan

Dermatology

55sec

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What are the symptoms of syphilitic disease?

The symptoms of syphilitic disease are diverse, and syphilis is divided into early syphilis and late syphilis. In the early stages of syphilis, during the primary phase, it usually presents as a hard chancre on the genital area, without obvious pain. In secondary syphilis, it manifests as polymorphic roseola, usually appearing as patches of varying sizes on the trunk, covered with scales, with no significant itching. In tertiary or late syphilis, there can be damage to multiple systems including bones and nerves. Once syphilis is diagnosed, it is essential to treat it early. Early treatment generally leads to good outcomes, with most people recovering. If it progresses to late stages, treatment outcomes are relatively poor. The first choice of treatment for syphilis is long-acting penicillin.

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Written by He Jing

Obstetrics and Gynecology

1min 5sec

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Is fungal vaginitis related to syphilis?

Yeast vaginitis and syphilis are unrelated. Yeast vaginitis is caused by a disruption in the vaginal environment leading to an infection with Candida albicans, resulting in increased vaginal discharge. This is accompanied by itching of the vulva and the discharge may appear like cottage cheese or have a curd-like texture. However, syphilis is caused by the infection of the bacterium Treponema pallidum. It is a sexually transmitted disease characterized primarily by painless ulcers on the genitals. The treatment methods for the two are also different. Yeast vaginitis can be treated by external washing with baking soda and inserting clotrimazole vaginal suppositories, typically resolving within about a week. Treatment for syphilis, on the other hand, generally involves intravenous injections of penicillin. (Medication use should be supervised by a professional doctor.)

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Written by Zhu Zhu

Dermatology

37sec

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Can tertiary syphilis be contagious?

Third-stage syphilis is contagious. Although the titers in third-stage syphilis might be lower than those in the first and second stages, it still has the ability to infect others. Moreover, third-stage syphilis can easily lead to many complications, affecting other tissues and organs of the body. Therefore, third-stage syphilis is very serious. Once third-stage syphilis occurs, one must be particularly vigilant, seek timely treatment in a reputable hospital early, enhance their immunity, and avoid having a history of unprotected sexual activity.

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Written by Ye Xi Yong

Infectious Diseases

47sec

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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.