Can tertiary syphilis be contagious?

Written by Zhu Zhu
Dermatology
Updated on November 09, 2024
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Third-stage syphilis is contagious. Clinically progressing to third-stage syphilis indicates a more serious condition, and indeed, third-stage syphilis is considered late-stage. Although it is less contagious compared to first and second-stage syphilis because the titer decreases as it progresses to this stage, it remains infectious. This means it is still possible to transmit to others. Therefore, patients with third-stage syphilis should receive timely treatment.

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Written by Zhu Zhu
Dermatology
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Does third-stage syphilis rash itch?

People with tertiary syphilis generally do not experience itching. Tertiary syphilis represents the later stages of the disease manifestation. Typically, the symptoms on the skin are neither painful nor itchy, which is the case for most individuals. However, some patients may feel differently from the majority, experiencing anomalies, or they might develop secondary conditions such as eczema or allergies, among others, possibly leading to mild itching and so on.

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Written by Huang Ling Juan
Dermatology
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What are the early symptoms of syphilis in men?

Early symptoms of syphilis in men may include small papules, with the characteristic lesion of early syphilis being a chancre. From the infection with the syphilis spirochete to the appearance of skin symptoms, it usually takes about three weeks on average. The syphilis chancre in men is typically found on the genitals, though a minority may appear in the mouth. The earliest form of a chancre is a solitary papule, which gradually develops into a round or oval-shaped ulcer. The ulcer has clear boundaries, slightly raised edges, and a clean base, feeling firm like cartilage to the touch, without significant pain. When a chancre appears, if a secondary bacterial infection occurs, pain may arise. Men infected with syphilis must seek early treatment as early-stage syphilis can be completely cured.

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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 Zhu Zhu
Dermatology
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Does third-stage syphilis have transmissibility?

Syphilis is a disease that often causes fear among the general population. Syphilis is divided into three stages: primary, secondary, and tertiary, with tertiary syphilis being the most infectious stage. Syphilis is a chronic systemic infectious disease caused by the infection of the Treponema pallidum bacterium. It has a wide range of transmission methods, including sexual transmission, blood transmission, and mother-to-child transmission, among others. Therefore, the infectiousness of tertiary syphilis is the strongest, and everyone should pay extra attention and take precautions.

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Written by Zhu Zhu
Dermatology
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Can third-stage syphilis be cured?

Third-stage syphilis can potentially be fatal, but this is not absolute. With proper and timely treatment, it can gradually improve. Third-stage syphilis is the most severe and latest stage of the disease, also known as late-stage syphilis. This stage often affects our skin, bones, cardiovascular system, and even the nervous system. When these systems are affected, corresponding complications can arise. If left untreated, late-stage complications can lead to death. However, if treated early, there is a possibility of cure over time.