Lumps and lumps on the genitals

The difference between acne due to syphilis and chickenpox

Smallpox syphilide is most easily confused with chickenpox.
This disease is diagnosed mainly in childhood.

In adults it is more severe.

The difference is a pronounced intoxication syndrome.

It occurs 2-3 days before acne appears.

Severe hyperthermia, cephalalgia, myasthenia gravis, and sore throat are noted.

There are many foci of rashes, and they are located in groups.

While with syphilis there are few of them, and they are single.

Another feature of chickenpox is the extremely rapid transformation of morphological elements.

The entire cycle can take only 8 hours.

First, pink spots form.

From them papules are formed.

They turn into bubbles.

They usually contain completely clear liquid.

Unlike syphilis, in which the contents of the vesicles are often purulent.

With chickenpox, there is severe itching of the skin.

Differences between ecthyma in syphilis and normal

Common ecthyma has a staphylococcal or streptococcal etiology.

Rarely it is caused by gonococcus.

With simple ecthyma, a bubble or pustular element is formed.

The morphological element appears only against the background of infiltration.

It dries out quite quickly.

A crust forms.

After it leaves, an ulcer forms, the bottom of which bleeds and is covered with plaque.

Ecthyma heals in 2-3 weeks.

In some cases, it can heal without forming an ulcer.

Main localization:

• hips
• gluteal region
• shins
• hands

The main difference between ordinary ecthyma is that there is no infiltrate around the ulcer.

The crust covers the ulcerative defect completely, not partially.

Because ordinary ecthyma does not have a tendency to infiltrative growth.

Treatment methods for carbuncle

Small carbuncles that occur without noticeable intoxication and deterioration of the patient’s general condition are treated on an outpatient basis.

In cases where

• the patient is severely intoxicated,
• the carbuncle is large and localized on the face,
• the patient suffers from uncompensated diabetes mellitus or other serious diseases,

treatment is carried out in a hospital.

Conservative treatment

If treatment of the carbuncle was started at the stage of its maturation, then conservative methods are used, which in most cases leads to regression of the disease, that is, resorption of the infiltrate.

Antibacterial drugs with a broad spectrum of action are indicated for oral administration to the patient.

At the same time, the carbuncle itself is injected with antibiotics. To reduce pain, analgesics (Novocaine, Lidocaine) are used.

The surface of the carbuncle is treated with ethyl alcohol or other alcohol-containing antiseptics. An aseptic dressing is applied. Syntomycin or streptomycin emulsions are also used.

Surgery

If the carbuncle enters the necrotic stage, then this is an indication for surgery, which is performed while using antibiotic therapy.

The operation consists of dissecting the carbuncle and removing necrotic tissue from it.

Then a tampon with a hypertonic sodium chloride solution and proteolytic enzymes is inserted into the wound.

To clean the postoperative wound and completely remove necrotic tissue, the dressing is changed daily.

Physiotherapy

At the maturation stage, as well as in the postoperative period, UHF therapy and local ultraviolet radiation are prescribed.

To stimulate the body's defenses, intravenous laser and ultraviolet irradiation of blood can also be performed.

More information about the treatment method

Make an appointment Do not self-medicate. Contact our specialists who will correctly diagnose and prescribe treatment.

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Syphilitic rupee

One type of syphilitic ecthyma is syphilitic rupee.

It occurs in weak patients.

Characterized by the severe general condition of the patient.

Often combined with inflammatory lesions of the eyes, nasal mucosa, bones, etc.

Rupa occurs in the same way as ecthyma.

The difference is that underneath the crust, rapid tissue breakdown continues.

As a result, it is constantly increasing.

Over time, it can reach sizes up to 8 cm in diameter and up to 3 cm in depth.

When you press on the crust, pus is released.

There is an ulcer underneath.

After it heals, a large scar remains.

It may be pigmented at first and then colorless.

Rupees are usually single.

They develop slowly and last a long time.

Rupees can occur not only in the secondary period of syphilis, but also in the tertiary stage.

Symptoms of carbuncle

Clinical signs of a carbuncle are:

• suppuration and wound formation;
• hyperemia of the skin around the lesion;
• severe pain in the entire affected area.

The appearance and development of a carbuncle is usually accompanied by the following symptoms:

• elevated temperature, which often reaches 40 degrees;
• major intoxication;
• vomiting;
• nausea;
• loss of appetite;
• headache;
• general malaise.

These signs are especially pronounced when the carbuncle appears on the face or neck.

There are 3 stages of carbuncle:

Stage 1: infiltrate (folliculitis)

During this period, nodes form under the skin, which will be represented by inflamed hair follicles. The infiltrate contains adipose tissue, pus, lymph and lymphocytes. Nodules rise above the surface of the skin.

Since the nutrition of the dermis is disrupted, it acquires a bluish color. After a few days (from 9 to 12), the infiltrate reaches impressive sizes. It can be about 10 cm in diameter. The skin is swollen, tense, and hot to the touch. The more swelling there is, the more intense the pain will be.

Stage 2: purulent formation

At the stage of suppuration, the carbuncle reaches maturity. Blisters form on it, which are filled with pus. They open, so the surface of the carbuncle resembles a sieve. Through these small holes, pus leaks out, mixed with blood and dead epithelium.

The suppuration stage lasts about 14-21 days. During this period, the patient’s general health deteriorates.

Stage 3: necrosis and tissue rejection

During this period, pus from the carbuncle stops oozing. At the site of inflammation, ulcers are formed that will have rods. They merge with each other, forming one large defect. Tissue damage is very intense and often involves muscles. The affected area is black.

The wound heals slowly, gradually filling with granulations. A scar remains in its place. The necrosis stage lasts about 21 days.

Diagnosis of acne with syphilis

It is impossible to determine the origin of acne based on the clinical picture alone.

Diagnostic tests are required to confirm the analysis.

To directly detect Treponema pallidum, PCR of material from the surface of acne can be performed.

When a morphological element is irritated, a discharge usually appears.

It can be collected and sent to the laboratory.

Using PCR, the genotype of Treponema pallidum is determined.

You can also take blood tests.

The doctor will determine what reactions to syphilis you should take.

A minimum of two serological tests are usually performed.

For example, cardiolipin test and ELISA or RPGA.

If the results are questionable or contradictory, additional studies may be required.

Methods for diagnosing carbuncle

Carbuncle is diagnosed based on clinical symptoms.

Differential diagnosis is carried out with the following pathologies:

• rupture of an epidermal cyst;
• hidradenitis (if the carbuncle is localized in the perineum or armpit);
• anthrax;
• chronic ulcerative herpes.

Laboratory diagnostics

Microscopy of the smear reveals staphylococci. Bacterial culture allows identification of the pathogen and assessment of sensitivity to antibiotics.

Sign up for diagnostics To accurately diagnose the disease, make an appointment with specialists from the Family Doctor network.

How contagious are acne with syphilis?

The infectiousness of secondary syphilides is very high.

Especially ulcers and erosions that are not covered with a crust.

These elements contain a large number of pale treponema.

They can penetrate not only into the mucous membrane, but into the skin.

Not only sexual contact, but also close household contact in a person with active rashes can lead to transmission of infection.

In addition to the direct route, there is also an indirect route of infection.

In this case, Treponema pallidum is transmitted through common objects.

For example, through clothes, towels, etc.

That is, through objects that first come into contact with the skin of a patient, and then of a healthy person.

Prevention for others with syphilis

Those around you must follow preventive measures so as not to become infected from a person who has acne due to syphilis.

Firstly, you cannot have sexual contact with him.

Even if a condom is used.

Because the source of infection is not only the genitals, but also other parts of the body.

Secondly, you should not come into close everyday contact with the person.

Thirdly, you do not need to share hygiene items with him, sleep in the same bed, or wear the same clothes.

If there were contacts before syphilis was detected, it is advisable to receive preventive treatment.

Acne prognosis for syphilis and complications

Acne with syphilis itself will sooner or later go away on its own.

For some time the disease occurs without symptoms.

But this does not mean that the person is cured.

The rashes often recur.

And in the absence of timely treatment, the disease can progress to the tertiary stage.

She is very heavy.

Accompanied by damage to the central nervous system and internal organs.

Foci of infection can occur in almost any part of the body.

Most often affected:

• bones
• sense organs
• joints
• muscles

Gummas are formed.

Entire sections of tissue die.

They can lead to disability of the patient and often disfigure him.

They often cause organ loss.

For example, the eyes, nose or penis.

In the most unfavorable cases, syphilis ends in death.

Causes of carbuncle

The appearance of a carbuncle is preceded by an inflammatory process in the soft tissues, which usually begins with an inflammatory disease of the hair follicle - staphylococcal folliculitis, less often - with streptococcal folliculitis.

The development of inflammation can lead to the formation of a boil, which is an acute purulent-necrotic inflammation of the hair follicle. When several such boils form in one area of ​​the body, they can merge with each other.

The product of the merger of several boils is a carbuncle. A sharp bursting pain occurs in the area of ​​infiltration. The skin over the infiltrate becomes purple, tense, and swollen. Large amounts of gray-green pus are released from the pustules.

The tissues become necrotic. There are clear signs of general intoxication: tachycardia, nausea, vomiting, severe headache, hyperthermia up to 39-40 ° C, leukocytosis, shift of the blood count to the left, lack of appetite, insomnia. If the carbuncle is localized on the face, the symptoms of intoxication are much more pronounced, even to the point of fainting.

After exfoliation of necrotic tissue and removal of pus, the severity of signs of intoxication weakens significantly.

Risk factors for carbuncle formation:

• the presence of a chronic source of infection in the body;
• lack of vitamins;
• diabetes mellitus and other metabolic disorders;
• exhaustion of the body;
• psychological overload;
• immunodeficiency states;
• recent operations or serious illnesses;
• skin contamination, poor sanitary culture;
• nutritional deficiency;
• obesity;
• prolonged friction of the skin with clothing;
• increased sweating.

Carbuncle mainly affects teenagers and young adults. Men get sick more often than women.