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Diseases » Neurosyphilis » Symptoms
 

Symptoms of Neurosyphilis

Symptoms of Neurosyphilis

The list of signs and symptoms mentioned in various sources for Neurosyphilis includes the 40 symptoms listed below:

Research symptoms & diagnosis of Neurosyphilis:

Neurosyphilis Symptoms: Book Excerpts

Research More About Neurosyphilis

Do I have Neurosyphilis?

Neurosyphilis: Medical Mistakes

Neurosyphilis: Undiagnosed Conditions

Diseases that may be commonly undiagnosed in related medical areas:

Home Diagnostic Testing

Home medical tests related to Neurosyphilis:

Wrongly Diagnosed with Neurosyphilis?

The list of other diseases or medical conditions that may be on the differential diagnosis list of alternative diagnoses for Neurosyphilis includes:

See the full list of 6 alternative diagnoses for Neurosyphilis

More about symptoms of Neurosyphilis:

More information about symptoms of Neurosyphilis and related conditions:

Other Possible Causes of these Symptoms

Click on any of the symptoms below to see a full list of other causes including diseases, medical conditions, toxins, drug interactions, or drug side effect causes of that symptom.

Medical Books Online about Neurosyphilis

Medical Books Excerpts Excerpts of published medical book chapters related to Neurosyphilis are available from published medical books for more detailed information about Neurosyphilis.

Medical Books Excerpts
  • Syphilis
  • "Professional Guide to Diseases (Eighth Edition)" (2005)

Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.

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Symptoms of Neurosyphilis: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the symptoms of Neurosyphilis.


Syphilis: Signs and symptoms
(Professional Guide to Diseases (Eighth Edition))

Primary syphilis develops after an incubation period that generally lasts about 3 weeks. Initially, one or more chancres (small, fluid-filled lesions) erupt on the genitalia; others may erupt on the anus, fingers, lips, tongue, nipples, tonsils, or eyelids. These chancres, which are usually painless, start as papules and then erode; they have indurated, raised edges and clear bases. Chancres typically disappear after 3 to 6 weeks, even when untreated. They’re usually associated with regional lymphadenopathy (unilateral or bilateral). In females, chancres are commonly overlooked because they usually develop on internal structures — the cervix or the vaginal wall.

The development of symmetrical mucocutaneous lesions and general lymphadenopathy signals the onset of secondary syphilis, which may develop within a few days or up to 8 weeks after onset of initial chancres. The rash of secondary syphilis can be macular, papular, pustular, or nodular. Lesions are of uniform size, well defined, and generalized. Macules typically erupt between rolls of fat on the trunk and, proximally, on the arms, palms, soles, face, and scalp. In warm, moist areas (perineum, scrotum, vulva, and between rolls of fat), the lesions enlarge and erode, producing highly contagious, pink or grayish white lesions (condylomata lata).

Mild constitutional symptoms of syphilis appear in the second stage and may include headache, malaise, anorexia, weight loss, nausea, vomiting, sore throat and, possibly, slight fever. Alopecia may occur, with or without treatment, and is usually temporary. Nails become brittle and pitted.

Latent syphilis is characterized by an absence of clinical symptoms but a reactive serologic test for syphilis. Because infectious mucocutaneous lesions may reappear when infection is of less than 4 years’duration, early latent syphilis is considered contagious. Approximately two-thirds of patients remain asymptomatic in the late latent stage; the rest develop characteristic late-stage symptoms.

Late syphilis is the final, destructive but noninfectious stage of the disease. It has three subtypes, any or all of which may affect the patient: late benign syphilis, cardiovascular syphilis, and neurosyphilis. The lesions of late benign syphilis develop on the skin, bones, mucous membranes, upper respiratory tract, liver, or stomach between 1 and 10 years after infection. The typical lesion is a gumma — a chronic, superficial nodule or deep, granulomatous lesion that’s solitary, asymmetrical, painless, and indurated. Gummas can be found on any bone — particularly the long bones of the legs — and in any organ. If late syphilis involves the liver, it can cause epigastric pain, tenderness, enlarged spleen, and anemia; if it involves the upper respiratory tract, it can cause perforation of the nasal septum or the palate. In severe cases, late benign syphilis results in destruction of bones or organs, which eventually causes death.

Cardiovascular syphilis develops about 10 years after the initial infection in approximately 10% of patients with late, untreated syphilis. It causes fibrosis of elastic tissue of the aorta and leads to aortitis, usually in the ascending and transverse sections of the aortic arch. Cardiovascular syphilis may be asymptomatic or may cause aortic insufficiency or aneurysm.

Symptoms of neurosyphilis develop in about 8% of patients with late, untreated syphilis and appear from 5 to 35 years after infection. These clinical effects consist of meningitis and widespread central nervous system damage that may include general paresis, personality changes, and arm and leg weakness.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Syphilis: Signs and symptoms
(Handbook of Diseases)

Each stage produces distinctive signs and symptoms.

Primary syphilis

After an incubation period that generally lasts about 3 weeks, symptoms of primary syphilis develop.

Initially, one or more chancres (small, fluid-filled lesions) erupt on the genitalia; others may erupt on the anus, fingers, lips, tongue, nipples, tonsils, or eyelids. These chancres, which are usually painless, start as papules and then erode; they have indurated, raised edges and clear bases.

Chancres typically disappear after 3 to 6 weeks, even when untreated. They are usually associated with regional lymphadenopathy (unilateral or bilateral). In women, chancres are frequently overlooked because they often develop on internal structures — the cervix or the vaginal wall.

Secondary syphilis

The development of symmetrical mucocutaneous lesions and general lymphadenopathy signals the onset of secondary syphilis, which may develop within a few days or up to 8 weeks after the onset of initial chancres.

The rash of secondary syphilis can be macular, papular, pustular, or nodular. Lesions are of uniform size, well defined, and generalized. Macules often erupt between rolls of fat on the trunk and on the arms, palms, soles, face, and scalp. In warm, moist areas (perineum, scrotum, vulva, between rolls of fat), the lesions enlarge and erode, producing highly contagious, pink or grayish white lesions (condylomata lata). Even without treatment, rashes clear up on their own.

Mild constitutional symptoms of syphilis appear in the second stage and may include headache, malaise, anorexia, weight loss, nausea, vomiting, sore throat and, possibly, slight fever. Alopecia may occur, with or without treatment, and is usually temporary. Nails become brittle and pitted.

Latent syphilis

Although no clinical symptoms occur in latent syphilis, it produces a reactive serologic test for syphilis. Because infectious mucocutaneous lesions may reappear when infection is of less than 4 years’duration, early latent syphilis is considered contagious.

Approximately two-thirds of patients remain asymptomatic in the late latent stage until death. The rest develop characteristic late-stage symptoms.

Late syphilis

The final, destructive, but noninfectious stage of the disease, late syphilis has three subtypes, any or all of which may affect the patient: late benign syphilis, cardiovascular syphilis, and neurosyphilis.

The lesions of late benign syphilis develop between 1 and 10 years after infection. They may appear on the skin, bones, mucous membranes, upper respiratory tract, liver, or stomach.

The typical lesion is a gumma — a chronic, superficial nodule or deep, granulomatous lesion that’s solitary, asymmetrical, painless, and indurated. Gummas can be found on any bone, particularly the long bones of the legs, and in any organ.

If late syphilis involves the liver, it can cause epigastric pain, tenderness, enlarged spleen, and anemia; if it involves the upper respiratory tract, it may cause perforation of the nasal septum or the palate. In severe cases, late benign syphilis results in destruction of bones or organs, which eventually causes death.

Cardiovascular syphilis develops about 10 years after the initial infection in approximately 10% of patients with late, untreated syphilis. It causes fibrosis of elastic tissue of the aorta and leads to aortitis, most often in the ascending and transverse sections of the aortic arch. Cardiovascular syphilis may be asymptomatic or may cause aortic regurgitation or aneurysm.

Symptoms of neurosyphilis develop in about 8% of patients with late, untreated syphilis and appear from 5 to 35 years after infection. These clinical effects consist of meningitis and widespread central nervous system damage that may include general paresis, personality changes, and arm and leg weakness.

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Diseases, 2003

Medical articles and books on symptoms:

These general reference articles may be of interest in relation to medical signs and symptoms of disease in general:

Full list of premium articles on symptoms and diagnosis

About signs and symptoms of Neurosyphilis:

The symptom information on this page attempts to provide a list of some possible signs and symptoms of Neurosyphilis. This signs and symptoms information for Neurosyphilis has been gathered from various sources, may not be fully accurate, and may not be the full list of Neurosyphilis signs or Neurosyphilis symptoms. Furthermore, signs and symptoms of Neurosyphilis may vary on an individual basis for each patient. Only your doctor can provide adequate diagnosis of any signs or symptoms and whether they are indeed Neurosyphilis symptoms.


 » Next page: Diagnostic Tests for Neurosyphilis

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