Secondary syphilis is a disease related to a certain stage of syphilis, which occurs after the transferred primary period. In this phase, infectious agents spread in the patient’s body through the circulatory and lymphatic pathways. A characteristic feature of this disease is in clinical manifestations in the form of lesions of the skin and mucous membranes. The internal organs of the patient are also affected. The disease begins several months after infection and lasts for several years. Secondary syphilis is characterized by alternation with latent early syphilis.
CAUSES OF SECONDARY SYPHILIS INFECTION
The causative agent of the disease of secondary syphilis is pale treponema.
SYMPTOMS OF SECONDARY SYPHILIS
The symptoms of this disease are quite diverse and, moreover, similar to many other skin diseases.
The general symptoms characteristic of this disease are as follows:
A rose-like rash that has a red or pink color. Roseoles have a pronounced irregular rounded shape. They are randomly located on the skin and mucous membranes, not rising above the skin level. The rash does not itch and does not peel off, and when pressed disappears for a short time.
This is a characteristic symptom of syphilis, observed in most patients. The rash, even without timely treatment, disappears for several weeks, and then returns again. With repeated rash, the roseoles have a paler color, but a larger size.
Nodular rash, has the appearance of nodules. In some cases, there is a combination of two types of rashes of nodules and roseoles. Nodular rash rises above the skin level and is called papules. Papules are localized not only on the skin, but also on the mucous membranes.They are characterized by constant growth and merging with each other. Skin rashes with syphilis are similar to manifestations of other skin diseases, also accompanied by a rash, which makes it difficult to make a correct diagnosis.
Syphilitic baldness, that is, hair loss. Baldness can be total or focal in nature. The small-focal type of baldness is a characteristic sign of syphilis. This process is completely painless. Hair loss begins a few months after infection.
Spotted leukoderma. This is a loss of skin color on the sides and back of the neck, which is especially characteristic of women. Discoloration may appear on the arms, abdomen and chest. Spotted leukoderma does not peel off and is not accompanied by painful sensations. It manifests itself a few months after infection.
Hoarseness of the voice is observed in syphilitic lesions of the vocal cords.
Secondary syphilis begins a few months after the infection of the patient, usually from 2 to 4. During the development of the disease affects all systems and organs of the patient.
The main symptom of secondary syphilis is a rash spread throughout the body, without exception.
Skin and mucous rashes are characterized by symptoms that resemble the flu (high fever, body aches, headache).
DIAGNOSIS OF SECONDARY SYPHILIS
The diagnosis of this disease is established on the basis of the general clinical picture, as well as laboratory studies. To do this , it is carried out:
RPG, IFA, REEF.
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Research in a dark field.
THERAPY OF SECONDARY SYPHILIS
The treatment of this disease requires an integrated approach, including the treatment of manifestations and causes of both the primary and secondary phases of the disease. Mandatory medical treatment should include, in addition to antibacterial therapy, immune stimulation and vitamin therapy. For maximum effectiveness of treatment, it is necessary to have the patient in a hospital.
