How early does the first symptom of syphilis appear? What are the nursing measures for first-stage syphilis

Syphilis is a chronic systemic transmitted disease caused by Treponema pallidum infection. Mainly transmitted through sexual intercourse. It is divided into three stages, today we will learn about the symptoms of syphilis in the next stage and how to treat it!

Syphilis symptoms

1. Hard scabies: The initial infection of the invading area caused by the entry of Treponema pallidum into the skin or mucosa, known as scabies. Due to its certain hardness, it is named "hard chancre".

(1) The incubation period varies from 10 to 90 days for primary syphilis, which usually occurs within 2-4 weeks, with an average of 3 weeks. About 30% of syphilis infected individuals do not experience chancre and directly experience symptoms of secondary syphilis or continue to lurk.

(2) Typical cases of lower scabies initially manifest as erythema, congestive papules, induration, or infiltrative erythema, followed by mild or superficial ulcers. Ulcers are usually circular in diameter ranging from 1 to 1.5 centimeters, with neatly raised edges surrounding inflammatory red circles. There is no purulent secretion on the bottom of the ulcer, and the surface is accompanied by serous fluid and a thin fibrous membrane. Contact the prickly heat area below, with hardness like cartilage.

(3) 95% of hard scabies occur in the genital area. The lower scabies that occur in other parts of the body are called external genital lower scabies. The scabies under the first stage syphilis of the male penis are in turn Corona of glans penis, glans, penis, foreskin and urethral orifice, and can also occur in the scrotum. The common site of female primary syphilitic chancre is the combination of labia major and labia minor and labia pubis.

(4) The best location for chancre outside the genital area is the areola and nipple, which are the most common. For male homosexuals or abnormal sexual intercourse, it is more common in the anus, lips, tonsils, tongue, and eyes and face. Due to kissing, lip contact with the genitals, or playing with fingers to infect the genitals, the incidence of scabies under the lips is highest.

(5) The occurrence of atypical infections is often influenced by secondary infections at the following sites and local or systemic treatment. For example, chancre occurs at the urethral opening, where the ulcer is shallow and small, with no hard sensation at the base, and more pain is present. Cervical chancre is often atypical and can manifest as both superficial erosion and induration of the cervix. The cervix is highly swollen and hardened, but there is no erosion. If chancre is secondary to infection, its ulcer surface is unclean, with green yellow viscous purulent secretions or thick scabs covering, and inflammatory erythema around it. Due to its completely different appearance from typical chancre, it is easy to be misdiagnosed.