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Syphilis - primary
Alternate Names : Primary syphilis
Symptoms & Signs
Primary syphilis symptoms include: - Chancre -- a small, painless open sore or ulcer on the genitals, mouth, skin, or rectum that should heal by itself in 3-6 weeks
- Enlarged lymph nodes in the area containing the chancre
The bacteria continue to multiply in the body, but there is little outward evidence of disease until the second stage.
Diagnosis & Tests
- Dark field examination of fluid from sore
- SerumRPR or serumVDRL (used as screening tests to detect syphilis infection -- if positive, one of the following tests will be needed to confirm the diagnosis:)
- FTA-ABS (fluorescent treponemal antibody test)
- MHA-TP
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Review Date : 8/1/2008
Reviewed By : Linda Vorvick, MD, Seattle Site Coordinator, Maternal & Child Health Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; Susan Storck, MD, FACOG, Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine; Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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