How long does tertiary syphilis appear?

Written by Zhu Zhu
Dermatology
Updated on December 17, 2024
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Tertiary syphilis often appears two to three years after contracting syphilis. Syphilis is staged based on the time of onset, and is typically divided into primary, secondary, and tertiary stages. Tertiary syphilis is the latest and most severe stage among these, often affecting the heart, nervous system, skin, and other areas. Due to the risk of severe complications, early and timely treatment is recommended to prevent the occurrence of tertiary syphilis.

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Written by Zhu Zhu
Dermatology
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How long is the latency period for tertiary syphilis?

The latency period of tertiary syphilis is not clearly defined, but it is certain that once tertiary syphilis appears, the duration of illness in patients generally exceeds two to three years, meaning the latency period is at least two to three years long. Of course, some patients may reach five to ten years. This depends on each individual's resistance as well as the virulence and amount of the virus. Additionally, if one contracts tertiary syphilis, it is crucial to seek timely and proper treatment, as it may be life-threatening.

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Written by Zhu Zhu
Dermatology
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Can tertiary syphilis be transmitted to infants?

It is possible for a baby to be infected with third-stage syphilis. Third-stage syphilis is a late stage of the disease, and if a pregnant mother has third-stage syphilis, it is possible to transmit the disease to her baby through mother-to-child transmission during pregnancy and childbirth. Therefore, if you discover that you have syphilis, especially third-stage syphilis, it is crucial to receive treatment promptly to prevent transmitting it to the baby.

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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 Li Chang Yue
General Surgery
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Is there a high possibility of syphilis with enlarged inguinal lymph nodes?

Enlarged inguinal lymph nodes generally suggest the possibility of syphilis, but such enlargement caused by syphilis commonly appears in the secondary or tertiary stages of the disease. In the early primary stage of syphilis, it is rare to see swollen inguinal lymph nodes; the symptoms are mostly seen on the external genitals, including soft and hard chancres. As syphilis progresses, it may gradually lead to swelling of the inguinal lymph nodes, including other superficial lymph nodes. However, enlargement of the inguinal lymph nodes alone cannot conclusively determine that the cause is syphilis. Other conditions such as bacterial lymphadenitis, lymph node tuberculosis, or lymphoma could also cause swollen inguinal lymph nodes. Therefore, to diagnose whether it is caused by syphilis, it is crucial to consider the results of syphilis serological tests and specific pathological puncture findings.

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Written by Kang Jian Hua
Reproductive Center
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Can the eugenic five-item test detect syphilis?

To know whether the eugenic five-item test includes syphilis, it is first necessary to clarify the components of this test. The eugenic five-item test includes screenings for toxoplasmosis, rubella virus, cytomegalovirus, and herpes simplex virus types 1 and 2, and it does not include a test for syphilis. Therefore, the eugenic five-item test does not cover syphilis. These five tests are mainly aimed at checking for viral infections before or during early pregnancy. The presence of any of these infections can be harmful to the fetus, potentially leading to early miscarriage, stillbirth, or congenital malformations. Thus, the eugenic five-item test does not include a syphilis test, which falls under sexually transmitted disease screenings.