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Primary Syphilis

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By (user no longer on site) OP     over a year ago

Primary Syphilis

By Ted Rosen, MD | December 20, 2012

Dr Rosen is Professor of Dermatology at Baylor College of Medicine and Chief of the Dermatology Service at the Veterans Affairs Medical Center, both in Houston, Texas.

A 17-year-old woman noted a gradually increasing, asymptomatic “sore” on her lower lip.

Key point: The patient was sure that this was merely a chancre sore, but became alarmed when the lesion failed to resolve after several weeks. This painless, indurated ulcer is typical of the chancre of primary syphilis. She also had palpably enlarged submental and submaxillary lymph nodes and a positive RPR in a titer of 1:32. She admitted to multiple episodes of oro-genital contact with different partners within the past 3 months; this led to an extra-genital chancre.

Treatment: Primary syphilis was treated with intramuscular benzathine penicillin (2.4 milion units).

Note: Aside from referral to the county health department for contact tracing, the patient was also offered, but refused, HIV testing.

this looks like a cold sore but does not heal and is painless

see pic on my profile if fab allow it yust be safe out there

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By (user no longer on site) OP     over a year ago

sorry pic mods wont alow pic that could save you from a lot of grief

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By (user no longer on site)  over a year ago

[Removed by poster at 23/12/12 06:44:23]

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By (user no longer on site)  over a year ago

cant comment didnt see the pic but in the time I worked in the GUM clinic aka STD clinic genital herpes is caused by someone with the cold sore virus going down on cock, pussy and have seen what that can do on patients. Not good at all, so the moral is leave it alone when ya have a cold sore. cos genital herpes never leaves you, you have episodes but hey ho no one has to give name to government warrent but not sure if this is the same as you were on about hun xxx

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By (user no longer on site)  over a year ago

a chancre sore is a a result of syphilis a cold sore is a result of herpies i think the OP is describing the diffrence between the two

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