Syphilis

 Syphilis

It is classified sexually transmitted disease. It is a chronic systemic infection caused by Treponema pallidum. The incubation period is 2-4 weeks. 
It runs a long course interspersed with stages of florid clinical features and long periods of latency. It may be congenital ( transmitted by the mother with early acquired syphilis to the foetus) or acquired during life by sexual contact. 

High Risk Persons

  • Men in age group of 28-35 years
  • Women in age group of 16-25 years
  • Travellers
  • Sailors, sadhus, saints
  • Prostitutes and homosexuals
  • Army service personnel
  • Entertainers

Modes of Transmission

  • Sexual contact including oral sex
  • Nonsexual contact, e.g. violent kiss
  • Transfusion of blood or its products
  • Transplacental-- mother to foetus causing congenital syphilis

Classification of syphilis

Congenital syphilis

Early 
Late

Acquired syphilis

1- Early 
(a) Primary syphilis
(b) secndary syphilis
2- Latent (WHO) 
(a) Early ( less than 1 year) 
(b) Late ( more than 1 year) 
3- Late 
(a) Tertiary ( benign gummatous) 
(b) Quarternary ( cardiovascular and neurosyphilis ) 

Tertiary

Benign gummatous
Cardiovascular and neurosyphilis

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