Ebook Tropical dermatology: Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Tropical dermatology: Part 2
Ebook Tropical dermatology: Part 2
H. Treponematosis and Genital UlcersSyphilisPintaYaws (Pian, Frambesia)Endemic Syphilis (Bejel)Chancroid (Soft Chancre)Granuloma Inguinale (Donovanosi Ebook Tropical dermatology: Part 2is)Lymphogranuloma VenereumSyphilisSergio Eduardo Gonzalez-GonzalezSyphilis is a chronic, infectious disease also known as lues. For the most part, it is sexually transmitted although it can also be passed through the placenta and by blood transfusion. After penicillin was introduced, the incidence Ebook Tropical dermatology: Part 2of syphilis decreased, but increased again in the late 1960s. When associated with AIDS, the clinical course of syphilis differs from the classic presEbook Tropical dermatology: Part 2
entations.GEOGRAPHIC DISTRIBUTIONDistribution is worldwide. It predominates in big cities where sexual promiscuity is high, especially among the lowerH. Treponematosis and Genital UlcersSyphilisPintaYaws (Pian, Frambesia)Endemic Syphilis (Bejel)Chancroid (Soft Chancre)Granuloma Inguinale (Donovanosi Ebook Tropical dermatology: Part 2the treponemas that cause pinta, frambesia and endemic syphilis. It cannot be cultured. It is 6-15 uni long and 1.5 uni wide. It has several regular spirals and a rotatory movement.CLINICAL PICTUREPrimary syphilis: The first manifestation or chancre appears 9-90 days (3 weeks average) after infectio Ebook Tropical dermatology: Part 2n. It is an erythematous papule on the site of inoculation (commonly in genitals) that grows and ulcerates rapidly. It is 1 cm in diameter, well-circuEbook Tropical dermatology: Part 2
mscribed and indurated at the base, hard and painless. Within a week after appearance of the chancre, bilateral, painless regional adenopathy developsH. Treponematosis and Genital UlcersSyphilisPintaYaws (Pian, Frambesia)Endemic Syphilis (Bejel)Chancroid (Soft Chancre)Granuloma Inguinale (Donovanosi Ebook Tropical dermatology: Part 2ry syphilis: The manifestations of the lues present 3-6 weeks after the appearance of the chancre. The cutaneous lesions are asymptomatic. They are generally accompanied by systemic manifestations such as headache, anxiety, anorexia, weigh loss and fever. The initial skin manifestations are like ros Ebook Tropical dermatology: Part 2eola; they are pink, macular, lenticular lesions, generally of 0.5-1 cm in diameter, and34Ỉ74Tropical DermatologyFig. 34.1 Syphilis, chancre and adenoEbook Tropical dermatology: Part 2
pathy (Courtesy of Jorge Ocampo).Fig. 34.2 Secondary syphilis.Syphilis175Fig. 34.3. Condylomta lata.palms and soles, they are very pathognomonic for sH. Treponematosis and Genital UlcersSyphilisPintaYaws (Pian, Frambesia)Endemic Syphilis (Bejel)Chancroid (Soft Chancre)Granuloma Inguinale (Donovanosi Ebook Tropical dermatology: Part 2imates resemble viral warts—condyloma latum or planus condyloma—on genitals, breast and intergluteal folds (Fig. 34.3). Alopecia in hairy skin and eyebrows appears as a "mouse bite” (Fig. 34.4). White or gray plaques appear on the oral mucosa and nails. Generalized lymphadenopathy is common. All les Ebook Tropical dermatology: Part 2ions of secondary lues are rich in treponema.Late syphilis: After two years without treatment syphilis can take several forms. It may heal spontaneousEbook Tropical dermatology: Part 2
ly, it may pass into latency for the rest of life, or it may cause three types of clinical manifestations. Late syphilis may cause destructive gummatoH. Treponematosis and Genital UlcersSyphilisPintaYaws (Pian, Frambesia)Endemic Syphilis (Bejel)Chancroid (Soft Chancre)Granuloma Inguinale (Donovanosi Ebook Tropical dermatology: Part 2ed by angina, coronary stenosis, aortic insufficiency or aortic aneurysm. Neurosyphilis may be asymptomatic with only CSF changes or it may manifest with neurovascular lesions, causing generalized paralysis, dorsal tabes or ocular syphilis.Prenatal syphilis: Generally after the third month of pregna Ebook Tropical dermatology: Part 2ncy, syphilis is transmitted to the fetus through the placenta. It can cause a miscarriage before the fourth month. Early prenatal syphilis is observeEbook Tropical dermatology: Part 2
d from birth up to 2 years of age. The first manifestation is so-called svnhilitic neninhipus with blisters, mainlv on34Tropical Dermatology176Fig. 34H. Treponematosis and Genital UlcersSyphilisPintaYaws (Pian, Frambesia)Endemic Syphilis (Bejel)Chancroid (Soft Chancre)Granuloma Inguinale (Donovanosi Ebook Tropical dermatology: Part 2eafness.H. Treponematosis and Genital UlcersSyphilisPintaYaws (Pian, Frambesia)Endemic Syphilis (Bejel)Chancroid (Soft Chancre)Granuloma Inguinale (DonovanosiGọi ngay
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