Sexual and Reproductive Health at a Glance by Catriona Melville

Author:Catriona Melville
Language: eng
Format: epub
ISBN: 9781119235163
Publisher: Wiley
Published: 2015-04-20T00:00:00+00:00

Clinical features

Primary syphilis

Characterized by a chancre (ulcer) which is typically solitary, indurated and painless, with a clean moist base, exuding clear serum (Figure 16.1). The chancre is typically in the anogenital region

Atypical presentation can occur with ulcers which are multiple, painful, purulent or destructive and can mimic HSV infection (Box 16.1). They can also be extragenital, especially oral and rarely finger, hand, arm and other sites. Balanitis of Follman is rarely reported

The primary lesion is associated with regional lymphadenopathy

Occurs 9–90 days after infection (average is 3 weeks) and resolves within 3–8 weeks. May go unnoticed by the patient particularly if painless

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