![]() ![]() Photo Credit: CDC/ Susan Lindsley Tertiary/Late stages: This image depicts a lingual mucous patch on the tongue of a patient who was subsequently diagnosed with secondary syphilis. During the secondary stage of syphilis, mucous patches can also develop inside the mouth, vulva, and vagina.Ī photograph of mucous patches on the tongue due to secondary syphilis. Mucous patches form during the breakdown of mucous membranes, seen here on the inferior surface of the tongue. The pustules shown under this patient’s chin are due to a secondary syphilitic infection. This patient presented with a secondary syphilitic rash covering his back. This syphilis patient presented with a “roseola rash”, similar to that of viral eczema, which developed on her buttocks and legs during the secondary stage of the disease.Ī photograph of a secondary syphilitic papulosquamous rash seen on the torso and upper body. This patient presented with secondary papular syphilids on the soles of his feet. This patient presented with secondary syphilitic lesions on the plantar aspect of the foot. This patient presented with secondary syphilytic lesions on the palms. This patient presented with secondary syphilytic lesions on the palms of her hands.Ĭlose-up view of keratotic lesions on the palms of this patient’s hands due to a secondary syphilitic infection. Sometimes rashes associated with secondary syphilis are so faint that they are not noticed. However, rashes with a different appearance may occur on other parts of the body, sometimes resembling rashes caused by other diseases. The characteristic rash of secondary syphilis may appear as rough, red, or reddish brown spots both on the palms of the hands and the bottoms of the feet. Moist, heaped, wart-like lesions - Condyloma lata - on genital, anal or oral areas 5-25%.Mucous patches oral cavity and genital areas 5-30%.At this stage, syphilis is highly contagious. ![]() ![]() The signs and symptoms of secondary syphilis will resolve with or without treatment, but without treatment, the infection will progress to the latent and late stages of disease. Skin rash and malaise commonly characterize the secondary stage. Secondary syphilis is characterized by a systemic spread of the Treponema pallidum bacterial spirochetes. This patient presented with an extragenital facial chancre of the lip. This patient presented with a primary syphilitic chancre of the lip. This patient presented with an anal chancre due to Treponema pallidum bacteria. This patient presented with a primary anorectal syphilitic chancre during the primary stage of the disease. This patient presented with a primary vulvar syphilitic chancre.Ī patient with a primary syphilitic vulvar chancre, and condyloma acuminatum, or genital warts. This image shows chancres on the penile shaft due to a primary syphilitic infection. This patient presented with a penile chancre located on the proximal penile shaft, which was diagnosed as a primary syphilitic infection. However, if adequate treatment is not administered, the infection progresses to the secondary stage. The chancre lasts 1 to 5 weeks, and it heals without treatment. Primary syphilitic chancres are usually firm, round, small, and painless, and develop at the spot where the T. Often goes unnoticed if it’s not someplace obvious, i.e.Painless lesion appears 10-90 days at site of exposure, persists for 1-5 weeks.The chancre of primary syphilis usually heals after one to five weeks, although the person remains infected. Sometimes, lymph nodes near the ulcer become enlarged, but remain painless. The chancre is firm and painless, and it oozes fluid that contains syphilis bacteria. The genitals are the most common location for chancres to develop, but these ulcers also can form around the mouth or anus. Usually, a single ulcer (chancre) appears at the site where the bacteria entered the body. Download this page formatted for print: Syphilis: Aid to Diagnosis (PDF).Thank you.Īll images and descriptions courtesy of the CDC Public Health Image Library We do not suggest proceeding unless you are a health care professional who needs to see such images. These images are intended to help health care professionals identify and diagnose syphilis. On this web page, you will see some extremely graphic images. ![]()
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