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السفلس البدئي Primary Syphilis


السفلس البدئي Primary Syphilis

المعلومة

All genital sores must be regarded as syphilitic until proven otherwise, especially when solitary and painless.

كل القرحات التناسلية ( لاسيما الوحيدة و غير المؤلمة ) يجب أن تعتبر نتيجة للسفلس ( داء الزهري/ الإفرنجي ) حتى يثبت العكس .

المرجع

Oxford Textbook of Medicine 4th edition (March 2003)
dr.msh's picture
by
بعد التخرج

Quote:
painless

thats why mainly they seek medical advice after 6 months - i mean in 2ry syphilis
and this is the problem , they come after the organism has been wandering in their bodies for 6 months

cuz the chancre ( 1ry syphilis leison ) heals spontaneously after 4-6 weeks so they dont detect any medical advice sometimes

so when the pt comes in 2ry stage with symmetrical reddish-pink non-itchy rash on the trunk and extremities
and u suspect based on other sphyilitic manifestations and Hx thats its syphilis

then u have to ask the pt

did u have any chancre on ur genitalia before 6 months ?

this will help alot in confirmation before even tests

امرأة لا تتكرر's picture
امرأة لا تتكرر
السنة الخامسة

painless ... why?
the reason is that in syphilis there is vasculitis in small vessles and the nerves are nearby them so they are affected as well resulting in painless lesion
dr.msh's picture
dr.msh
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