Post Date September, 24 2023
Phase II syphilis presents as a systemic rash. Its characteristic is that it is objectively evident and can have symptoms similar to a cold, such as low fever, headache, sore throat, dull joint pain, etc. At this point, the infectivity is strong and can naturally improve to latent syphilis. More than half of the patients have systemic lymph node enlargement, with occasional liver and spleen enlargement. Blood images can increase white blood cells, anemia, and erythrocyte sedimentation rate.
(1) Early onset of syphilis rash in the second stage. After the first stage of syphilis self healing without treatment, the surface health condition is calm, but the Treponema pallidum continues to reproduce. After 2-4 months of infection, a large number of pathogens spread through the bloodstream to the whole body, leading to early onset of syphilis rash in the second stage. The time from the first stage of cure to the beginning of the second stage is also known as the first stage of latent syphilis. Pre symptoms such as fever, headache, and systemic pain may appear 2-3 days before the eruption. The types of rashes vary greatly, with some appearing as light red rose rashes. It is common in the front, side, and limbs of the trunk, and may develop into maculopapules or papules after the appearance of a rash. The damage is generally symmetrical, extensive, dense, and non fused, characterized by no pain, itching, and papules. After 2-3 months, due to the enhancement of body resistance, the early stage syphilis rash in the second stage can also be self cured. As long as it is not completely treated, it mostly relapses within 1-2 years.
(2) Recurrence of secondary syphilitic rash. Rashes are similar to early stage II syphilis, but they are small in number and distribution, concentrated on the face and limbs. In addition, flat warts can be seen on the anus and genitalia. The gray white surrounding congested mucosal plaques can be seen on the oral and vaginal mucosa. These tissues and injuries contain a large number of Treponema pallidum, which is highly contagious.
Various injuries caused by secondary syphilis can heal on their own and enter secondary latent syphilis. However, there are still many undecided spirochetes in the body, which can cause trouble once given the opportunity. The second term is 4 years, and more than 4 years are referred to as advanced syphilis.
Phase II Syphilis Hazards
The main manifestations of secondary syphilis can be summarized into three characteristics: cold symptoms, syphilitic rash, and generalized lymph node enlargement. When suffering from syphilis rash, it is easy for patients to overlook it due to the lack of obvious pain. In clinical practice, if you see a widely distributed, symmetrical, and conscious rash with mild symptoms, you should inquire about the medical history in detail to avoid missed diagnosis. The second stage syphilis rash has a high number of syphilitic spirochetes on its surface and is the most infectious.
