Which is more serious, syphilis or AIDS?

Written by Xiong Hong Hai
Infectious Disease
Updated on September 12, 2024
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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.

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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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Can urethritis syphilis recur?

Urethritis and syphilis can both recur. Urethritis is primarily due to bacterial cleansing, leading to inflammatory infection of the urinary tract. If personal hygiene is not maintained, it can cause recurrence of urethritis, or the presence of other urinary system diseases may also lead to its recurrence. A relapse of syphilis refers to the condition where, after treatment, the titer is controlled below 1:4, but during an intermittent observation period, the titer rises again, and the proportion of increase is relatively high. This situation is considered a recurrence of syphilis.

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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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What are the early symptoms of syphilis?

Syphilis is divided into overt and latent syphilis. Latent syphilis, regardless of whether it is early or late stage, shows no symptoms at all and can only be confirmed by blood testing. The symptoms in the early stage are mainly those of overt syphilis, primarily manifestations of primary syphilis. The stages of primary, secondary, and tertiary syphilis begin with the appearance of a lesion at the site of infection, typically about 0.5 to 1 centimeter in diameter, with a hard, dark red nodule that feels like cartilage. The surface may have ulcers; it may be painless, or there may be no pain at all. Subsequently, nearby lymph nodes may become enlarged. This swelling of the lymph nodes is characterized by being painless, usually unilateral, with no redness or rupture. These are the clear symptoms of overt primary syphilis. If treated properly at this stage, recovery is generally rapid.

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Which department should women go to for syphilis testing?

For female syphilis screening, one generally needs to visit the department of venereal diseases, where hospitals with such departments conduct syphilis tests. The test for syphilis involves a blood draw for the RPR syphilis virus test. Through this testing, one can determine whether they have contracted syphilis. If a syphilis infection is detected, it is essential to choose the appropriate medication based on the test results for targeted treatment. Generally, both AIDS and syphilis fall under the purview of the venereal disease department. Therefore, if you wish to undergo syphilis testing, you must visit the venereal disease department of a hospital for the relevant examinations. Typically, there is an incubation period, and if the results are completely negative after three months, it generally means there is no significant concern.