Does the eugenic five-item check include syphilis?

Written by Liu Wei Jie
Obstetrics
Updated on February 09, 2025
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Does the eugenic check for syphilis? Eugenic examination checks for toxoplasmosis, rubella virus, cytomegalovirus, and other mycoplasma, chlamydia, or parvovirus infections. These are generally diseases transmitted through the respiratory tract, and if infection occurs, they mainly affect the development of the fetus's brain or eyes, as well as the development of the liver and other internal organs. The test for syphilis, which is a type of sexually transmitted disease, belongs to infectious diseases. The eugenic check does not necessarily concern infectious diseases; it can be contracted through respiratory infection or by consuming contaminated food. However, syphilis is very specific in its transmission, which occurs through blood, mother-to-child transmission, or sexual contact. These two are not the same concept.

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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 Zhu Zhu
Dermatology
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Can third-stage syphilis be completely cured?

Whether tertiary syphilis can be completely cured depends on the specific conditions of different patients. If tertiary syphilis has not caused serious complications, then timely and standard syphilis treatment at this stage can potentially lead to a cure. However, if it has been a long time and the condition has been neglected, it might cause severe damage to tissue and organ functions and can be life-threatening. At this point, it cannot be completely cured; even using anti-inflammatory drugs to treat syphilis cannot reverse the complications and greatly affects the quality of life.

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Written by Zhu Zhu
Dermatology
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Can tertiary syphilis be breastfed?

Syphilis is a common infectious disease caused by the syphilis spirochete, with tertiary syphilis being the most severe and most infectious stage. Therefore, breastfeeding is not allowed if one has tertiary syphilis, as breastfeeding is one of the transmission routes of syphilis. If breastfeeding occurs, syphilis can potentially be transmitted to the child through the breast milk. The breast milk of syphilis patients contains syphilis spirochetes, and if a syphilis patient breastfeeds a child, it essentially means transmitting this pathogen to the newborn through the milk. Thus, syphilis patients are prohibited from breastfeeding.

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Written by Li Chang Yue
General Surgery
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Is cervical lymphadenopathy related to syphilis?

Enlargement of cervical lymph nodes is somewhat related to syphilis. Although cervical lymph node enlargement is not necessarily solely caused by syphilis, if syphilis progresses to its secondary or tertiary stages, it tends to cause lymph node enlargement, and severe cases may even lead to ulceration. This happens because after a syphilis infection, immune responses in the lymph cells are triggered by the Treponema pallidum, leading to the enlargement of cervical lymph nodes, and also possibly the lymph nodes under the arms and in the groin area. In such cases, it is advised to seek timely medical attention, complete the necessary immunological testing, and ensure an accurate diagnosis of syphilis. If cervical lymph node enlargement occurs, prolonged treatment with penicillin should be administered, as it effectively controls the Treponema pallidum and can help reduce the severity of the lymph node enlargement.

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Written by Huang Ling Juan
Dermatology
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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.