Doctor insights on:
Differentiate Syphilis Chancroid
Genital ulcers: Herpes, syphilis, donovanosis and chancroid cause genital ulcers. In the us, genital herpes is the most common. A diagnosis of chancroid is a little tricky b/c test not widely available. Having both a painful genital ulcer and tender swelling in the groin raises the possibility of chancroid (in setting of negative syphilis and herpes testing). Hiv test should also be done. See md for evaluation. ...Read more
It is a sexually transmitted, acute, ulcerative disease of the vulva. It is painful. It is caused by the bacteria haemophilus ducreyi. The incubation period is short 3-6 days. The initial lesion is small, but evolves over the next 2-3 days into the ulcer. The ulcers are painful , and can ...Read more
How do I differentiate between syphilis and chancroid? What's the most secretive way of getting tested for either? There are many differences between the syphilitic chancre and chancroid:
i. Chancres are typically painless, whereas chancroid are typically
Professional care: Correct about usually painful versus painless genital sores. But there's been no chancroid in the US for many years, except maybe a few who caught it elsewhere and returned home with chancroid. Most genital ulcers aren't due to either one; herpes is far and away the most common cause. See a doctor for exam and testing. Don't worry about "secretive": medical confidentiality laws are very strong. ...Read more
Genital lesions: Chancroid is a soft friable lesion appearing on mons pubis with surface ulceration. Syphillitic ulcers are more defined, smaller, deeper ulcerated areas which are usually painless(unlike herpetic ulcers). The definitive test is taking swab cultures or biopsies. A blood sample for syphilis(rpr with fta) must be done additionally to confirm before treatment could be started. ...Read more
Biopsy & blood tests:
Syphilis can generally be diagnosed with a blood test. Guttate psoriasis would require a biopsy and examination of the tissue by a pathologist for certain diagnosis. Presence of one does not exclude the other.
For good health — Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex.
Get HPV vaccine. ...Read more
Many differences: The syphilitic ulcer has a hard base which is non-tender, has a well-defined edge and will, with time, disappear on its own. The chancroid ulcer has a soft base, is quite tender and may look inflamed, and has ragged shaggy edges. You should not try to make this diagnosis yourself, but see a doctor, because if you have one std the odds are good that you have more than one. Get tested. ...Read more
Exposure to germ: Syphillis is usually transmitted sexually thru contact with an infected person. That person may be asymptomatic and or have thought they had a flu like illness as their only symptoms. Risk of transmission is estimated at 30% per contact during the contageous phaze. Infected women pass it to their babies during pregnancy in the first years they have untreated disease. ...Read more
More than u think...: Though overall statistics paints a relatively low number, in certain populations such as msm (men who have sex with men) in urban centers, syphilis rates are disturbingly high — in 2010 the cdc estimates it to be 44 times higher than other men and 40 times that of women. It is also important to remember that co-infection with HIV is not uncommon, so get tested for both! ...Read more
Syphilis: Doxycycline can be a cure to syphilis but it is not the most effective treatment. There is a special Penicillin known as Bicillin or Penacillin G that at 2.4 million units is 100% curative. Syphilis is experienced in three phases but there are often no symptom between phases. Blood testing and antibody titer monitoring are the norms for making sure the treatment was effective. ...Read more
2-4 weeks: There is a window period during which time you might not test positive for syphilis but still be infected. This window period can vary by type of test -- and probably from person to person. The syphilis lesion (chancre) usually appears 1-3 weeks after exposure and the vdrl/rpr blood test usually is reactive 1-2 weeks after the lesion appears. ...Read more
It may persist: The more you wait the higher the chances the disease will become chronic, harder to treat. The disease is reportable, usually epidemiologyc investigation is started to identify and treat all possible contacts. ...Read more
Certainly: All you need to do is get appt with your family MD or a clinic to have a routine blood test done for this. If you are 18, the results are private to you and not your parents if you see that as being a concern. Ideally, it may be best if they can help you with this, but it can be embarrassing and not likely to happen. If you have this, you are responsible to inform all partners. Best of Luck. ...Read more
4 stages: Primary: 1 chancre/sore or more painless sores at site of entry of syphilis bacterium. Lasts 3 – 6 weeks. If untreated progresses to Secondary stage: Skin rashes & sores in mouth, vagina or anus. Onset when 1ary healed or few weeks later. May have fever, swollen lymph glands, sore throat. Untreated progresses to latent & Tertiary stage. 1-many years late & damage brain, joints etc. ...Read more
Never too late to Rx: Syphilis progresses in 3 stages, the initial sore, the blood borne spirochete, and finally crossing the blood brain barrier. Unlike the carol king song "it's too late" from her tapestry album, we rarely see 3rd stage disease because it is usually caught and treated prior to infiltrating the brain. Can that happen in 9 untreated months? It depends on the hosts' resistance and the rapidity of rx. ...Read more