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Clinic |
Moscow, m. VDNH, territory of the All-Russia Exhibition Centre (495)745-10-77, 103-03-40 syphilis@yandex.ru
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 Solid chancre |
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Solid chancre
Solid chancre - spot of red color, which is converted into the papule, then - into the erosion or the ulcer, which appears on the spot of the penetration of pale treponemy into the organism.
Solid chancre more frequently is localized on the sex organs (in women frequently on the neck of womb), which indicates sexual infection; considerably more rarely are observed the extra-sexual chancres, which can be located on any section of the skin or mucous membranes: lips, almonds, on the skin of pubes, thighs, scrotum, stomach. The lymph nodes nearest to it begin to increase 1-2 weeks after the appearance of a solid chancre.
The value of chancre usually kolebletsya from the pin head (dwarfish chancre) to 5 ruble coins (gigantic chancre). Solid chancre has clear boundaries, in the overwhelming majority of the cases - in the base it palpates packing - infiltration, the signs of inflammation be absent. The painlessness of solid chancre is one of the symptoms of syphilis.
But there can be deviations from the described clinic. Plural and unhealthy (anal and urethral) solid chancres are encountered. Approximately in 15 % patients with syphillis solid chancre has a nature of deep ulcer (not surface). It is important to distinguish this solid chancre during the formulation of diagnosis from the soft chancre.
Solid chancre can be complicated by second infection with the development of the phenomena of sharp inflammation in its circle (necrosis of the bottom and it is boundary, gangrenizatsiya of solid chancre).
Repeated gangrenizatsiya (fagedenizm), which is observed usually in dipsomaniacs, leads to the significant destruction of cloths.
Ekstragenital'nye chancres are the signs of syphilis and raspolozhenny in the perianal region, on the lips, language, on the fingers, in the region of mammary gland.
The untypical symptoms of syphilis of the first stage include the atypical solid chancres:
indurativnyy edema (it appears in the region of sexual term, scrotum, extreme flesh, the sexual lips, the clitoris, the neck of womb);
chancre- panaritium - most frequently is located on the indicating finger, is characterized by packing of cloths, by formation of erosion or ulcer, by sharp sickliness;
chancre - amygdalite relates to the atypical signs of syphilis and is characterized by an one-sided increase in the almond, ulcer is absent.
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