How to distinguish syphilis chancre

summary

My girlfriend recently is always uncomfortable, often see her face is pale, sometimes can't get out of bed, I took her to the hospital yesterday for a comprehensive examination, the examination results show that she is suffering from syphilis, syphilis chancre how to distinguish you know? Now let's talk about how to distinguish syphilis chancre.

How to distinguish syphilis chancre

First: chancre is one of the hallmark symptoms of early syphilis. Chancre appears in penis, glans, coronal sulcus, prepuce, urethral orifice; labia, clitoris, cervix; anus, anal canal, etc. Can also be seen in the lips, tongue, breast, etc., hard chancre generally appears in 6-70 days after infection, hard chancre shape can be round or oval, often single, painless and itchless, sore surface is generally not broken, press up is hard, but once the occurrence of secondary infection, it may occur ulcer and damage.

Second, the damage often occurs in the vulva and sexual contact sites. In men, it is mostly near the glans, coronal groove and frenulum, the inner lobe of prepuce or penis, the root of penis, urethral orifice or urethra. The latter is easy to be misdiagnosed. Chancre is often complicated with prepuce edema. Lymphangitis can be seen in some patients on the back of penis, showing relatively hard linear damage. In women, chancre is more common in labia and clitoris, Urethral orifice, scrotum, especially in the cervix, easy to miss diagnosis, pudendal external hard chancre is more common in the lips, tongue, tonsils, fingers (medical staff can also be infected with finger chancre), breast, eyelids, ear.

Third: syphilis is a chronic, systemic sexually transmitted disease caused by Treponema pallidum. Early infectious, mainly invasion of skin and mucous membrane, often manifested as genital ulcer, lymphadenopathy and systemic rash, some patients may have no symptoms in the early stage; late destructive, almost can invade all organs of the body, often cause cardiovascular system and nervous system damage, even life-threatening. The disease is mainly transmitted through sexual contact, and a few are transmitted through blood transfusion and contaminated household appliances. The treatment of syphilis should follow the principle of early, regular, whole course treatment and regular follow-up.

matters needing attention

Syphilis complicated with HIV infection: in recent years, there have been many syphilis patients complicated with HIV infection, which has changed the clinical course of syphilis and is also a common syphilis classification. Because syphilis patients with genital ulcer is an important risk factor for the acquisition and transmission of HIV infection; and HIV can cause meningeal lesions, making Treponema pallidum easy to cross the blood-brain barrier and cause neurosyphilis.