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. However, rashes with a different appearance may occur on other parts of the body, sometimes resembling rashes caused by other diseases.
The first sign of syphilis is a small sore, called a chancre (SHANG-kur). The sore appears at the spot where the bacteria entered your body. While most people infected with syphilis develop only one chancre, some people develop several of them. The chancre usually develops about three weeks after exposure.
The only way to know is by getting tested. Many men who get syphilis do not have any symptoms for years, yet they remain at risk for health problems if they are not treated. Additionally, the painless sores that show up during the early stages of syphilis often go unrecognized by the person who has them.
It may not be obvious that a sex partner has syphilis. Syphilis sores in the vagina, anus, mouth, or under the foreskin of the penis, can be hard to see. You may get syphilis again, if your sex partner(s) does not receive testing and treatment.
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. However, rashes with a different appearance may occur on other parts of the body, sometimes resembling rashes caused by other diseases.
What does a syphilis sore (chancre) look like? When this ulcer first appears, it will look like a small pimple or area of swelling. The skin then breaks down and becomes a raised open sore. This is when Treponema pallidum enters through your skin into your body.
Signs and Symptoms of Syphilis in Females. The characteristic sign of syphilis is the appearance of a sore, known as a chancre, on the infected area. These sores are firm, round, and painless, though they can potentially burst and become open and wet. This is also when the bacterial infection is at its most contagious.
Syphilis is easily curable with antibiotics in the early stages. If you get treatment late, it will still cure the infection and stop future damage to your body. But the damage that late stage syphilis has already caused can't be changed or healed.
Without treatment you will still have syphilis for 20 years or more even though you will not have any signs or symptoms. People with latent syphilis may sometimes have symptoms (flare-ups) like skin rash, fever, a sore throat, swollen glands or feeling weak and tired.
Primary Stage
A single chancre marks the onset of the primary (first) stage of syphilis, but there may be multiple sores. The chancre is usually (but not always) firm, round, and painless. It appears at the location where syphilis enters the body.
Syphilitic chancres and mucous patches usually are painless, unless they become secondarily infected. Both of these lesions are highly infectious. The chancre begins as a round papule that erodes into a painless ulcer with a smooth grayish surface (see Figure 13-4). Size can range from a few millimeters to 2 to 3 cm.
For the most part, a syphilis rash appears as pale, red spots on your chest, back, arms, legs, palms, and soles of your feet. The patches are symmetrical and tend to be non-itchy. The infection spreads through contact with the rash or sores, making the secondary stage of syphilis very contagious.
In the first stage of syphilis, a small, smooth sore develops on your genitals, mouth or lips. It may resemble a pimple and be so small and harmless that you don't even notice. This sore goes away on its own in about six weeks. In the second stage of syphilis, a rough, red or brown rash develops.
A single injection of long-acting Benzathine penicillin G can cure the early stages of syphilis. This includes primary, secondary, or early latent syphilis. CDC recommends three doses of long-acting Benzathine penicillin G at weekly intervals for late latent syphilis or latent syphilis of unknown duration.
Antibiotics can cure syphilis and prevent more serious problems caused by it. You and your sex partner or partners need antibiotic treatment. This is to prevent passing the infection back and forth or to others.
Syphilis is a sexually transmitted infection (STI) that has been around for centuries, but cases are increasing: In 2020, there were more than 130,000 new cases in the United States. After syphilis is contracted, it goes through four stages: primary, secondary, latent, and tertiary.
You can live a normal life, but it's important to take precautions to protect others. First, get treatment and wait until a healthcare provider tells you you are cured before you have sexual activity. If syphilis progresses to the last stage, it can affect many vital organs and be life-threatening.
Although kissing is considered to be low-risk when compared to intercourse and oral sex, it's possible for kissing to transmit CMV, herpes, and syphilis. CMV can be present in saliva, and herpes and syphilis can be transmitted through skin-to-skin contact, particularly at times when sores are present.
The rash may be so faint that it will go unnoticed. Other symptoms can include fever, swollen lymph glands, sore throat, wart like lesions, condyloma lata, may develop in warm moist areas, patchy hair loss, headaches, weight loss, muscle aches, and fatigue or feeling very tired.
They are often mild and painless, therefore they can easily go undetected. Symptoms include: A small painless sore or ulcer called a chancre. This can be found around the genitals, mouth or fingers on the body, (CDC).
If you have syphilis, you could have a chancre. This is a hard sore or an ulcer that usually forms where the bacteria enters your body, most often in your genital area, but also in your mouth or anus. A chancre usually doesn't cause pain. Chancroid is the disease, not the sore.
The symptoms of syphilis are often mild and hard to notice. They tend to change over time and may come and go. Symptoms of syphilis include: small sores (ulcers) on your penis, vagina, or around your bottom (anus) – these are usually painless and you may only have one of them.
The painless syphilis sore you might find after first getting syphilis can be confused for an ingrown hair, zipper cut, or other seemingly harmless bump.
Primary syphilis
pallidum uses its spiral shape to twist into the skin. A painless ulcer results. Typically, a solitary, small firm red painless papule on the genital area quickly becomes a painless ulcer with a well-defined margin and an indurated base.
Secondary stage
During secondary syphilis, a person is highly contagious. A rash appears 2 to 12 weeks after the chancre develops and sometimes before it heals. The rash often forms over the body, often on the palms of the hands and the soles of the feet.