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Syphilis Is More Than A Rash
A young man
notices that the palms of his hands have acquired a rash that persists
for several days, no matter what creams or lotions he applies. A week
or two later, at the insistence of his girlfriend, he decides to go to
the doctor. After running some blood tests, the physician informs him
that the rash is a symptom of syphilis that has spread throughout his
body. Explaining the risks involved with the disease, the doctor
recommends that he and his girlfriend get treated immediately. The
young man is surprised, saying that he never noticed any symptoms
"down there." But he is also fearful, so he takes the doctor's advice
and accepts treatment.
There are around
120,000 new cases of syphilis in the United States each year. The disease,
which is caused by the bacterial species Treponema pallidum, affects the
body in stages. The first stage is characterized by a painless, hard, red
sore called a chancre, which appears at the site where the person is first
infected—often the mouth, penis, or vagina. The sore may be as small as a
pimple or as large as a dime. After several weeks, the chancre "resolves"
(disappears), but that doesn't mean that the disease is gone. Direct
contact with one of these lesions will transmit the bacteria to another
person. The infectious agent may also be transmitted to a fetus through
the placenta. At this stage, syphilis may be easily treated with an
antibiotic such as penicillin.
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If untreated, the patient generally develops
secondary or "disseminated" syphilis, roughly six months after the initial
sore has cleared up. This stage may be recognized by a flaking, nonitchy
rash on the palms of the hands, the soles of the feet, or all over the
body. Other symptoms may include fever, weight loss, and swollen lymph
nodes. This stage may last several weeks to
months, but it will also go away on its own.
If the infection is still not treated, tertiary
syphilis may occur, which can permanently damage the brain, eyes, bones,
or heart and may even lead to death. If caught in time, this stage
requires weeks of hospitalization and treatment with drugs given
intravenously. The damage is often irreversible.
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