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.

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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 Xie Ming Feng
Dermatology
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How to test for AIDS and syphilis?

If you have engaged in high-risk sexual behaviors, or suspect that you might have contracted HIV or syphilis for any other reason, then it is necessary to go to a qualified hospital in a timely manner for blood tests to check for syphilis antibodies, syphilis titers, and HIV antibodies. If the syphilis antibody test is positive and the titer is high, timely treatment should be sought. If the HIV antibody test is positive, then it is necessary to visit a disease control center or a medical institution designated by the government for further confirmatory tests to either rule out or confirm HIV infection.

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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 Huang Ling Juan
Dermatology
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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 Zhu Zhu
Dermatology
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How long does it take to cure third-stage syphilis?

Third-stage syphilis is the most severe stage of the disease. It generally damages the nervous system and cardiovascular system of the human body, thus having a significant impact. There is no definite timeline for the cure of third-stage syphilis. The treatment of third-stage syphilis primarily involves controlling the condition with medication; there is still no specific method that can completely cure it thoroughly. Therefore, it is necessary to take medication for a long period. Currently, for treating third-stage syphilis, procaine penicillin is generally chosen for patients. In fact, procaine penicillin mainly helps effectively control the syphilis spirochete.