Is severe oral ulceration related to syphilis?

Written by Li Cui
Dentistry
Updated on April 12, 2025
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Oral ulcers are a type of erosion of the mucous membrane in the mouth and are commonly seen in clinical settings; they are a common disease. Syphilis, on the other hand, is a viral infection unrelated to oral ulcers, so it is recommended that patients be aware to differentiate them. Furthermore, it is crucial for patients to pay attention to their lifestyle habits and personal hygiene. When oral ulcers occur, it is appropriate to use some medications for oral ulcers for application, which can effectively treat the ulcerated surface of the mouth. Moreover, if a patient experiences severe, recurrent oral ulcers, it is advised to seek medical diagnosis at a hospital to exclude the possibility of other systemic diseases causing the ulcers. Additionally, patients should maintain good oral hygiene daily to develop healthy oral habits.

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Written by Zhu Zhu
Dermatology
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Third-stage syphilis has no symptoms.

Once tertiary syphilis has developed, it is highly unlikely for there to be no symptoms. Tertiary syphilis is a late stage of the disease, generally involving the skin, mucous membranes, cardiovascular system, and even the motor and nervous systems. If there are no symptoms present, it is generally not possible to be in the tertiary stage of syphilis. Therefore, if tertiary syphilis occurs, it will not be without symptoms.

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Written by Zhu Zhu
Dermatology
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Can tertiary syphilis be transmitted?

Third-stage syphilis is contagious, but its infectivity is weaker compared to first-stage and second-stage syphilis. However, the damage caused by third-stage syphilis is very severe, often causing damage to tissues and organ functions. It can potentially cause disabilities, deformities, or even life-threatening conditions. Therefore, the characteristic of third-stage syphilis is its weak infectivity but strong damaging effects. Thus, it is crucial to take third-stage syphilis seriously and seek regular and timely treatment.

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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 Zhu Zhu
Dermatology
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Symptoms of tertiary syphilis

Tertiary syphilis is the most severe stage of syphilis. The most common skin and mucosal damage in tertiary syphilis appears on the scalp, scapula, back, and the extensor sides of the limbs, where nodular syphilitic rashes can be observed, and gummatous swellings can also be seen on the lower legs. Apart from damaging the skin and mucous membranes, tertiary syphilis can also harm the cardiovascular and nervous systems. If the cardiovascular system is affected, it can cause problems in the aortic arch, leading to aortic valve insufficiency and syphilitic heart disease. If the nervous system is involved, it can cause neurosyphilis, manifesting as syphilitic meningitis, cerebrovascular syphilis, meningeal gumma, paralytic dementia, and more. In summary, once afflicted with tertiary syphilis, patients can exhibit a variety of clinical symptoms such as increased intracranial pressure, headaches, sensory abnormalities, ataxia, paralytic dementia, and localized brain compression, among other symptoms.

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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.