247dermatologist
Infection

Medically reviewed by Dr. A.M. van Coevorden, dermatologist

± 2 min read

SyphilisSTI that starts with a sore, well treatable with antibiotics.

Syphilis is an STI caused by a bacterium. The infection unfolds in stages and can go unnoticed for a long time. Syphilis is well treatable with antibiotics, especially in an early stage.

What is syphilis?

Syphilis is an STI caused by a bacterium. The infection unfolds in stages and can go unnoticed for a long time. Syphilis is well treatable with antibiotics, especially in an early stage.

How do you recognise syphilis?

In the first stage a sore develops at the site of infection, usually on the genitals, the anus or in the mouth. The sore is often painless and disappears on its own, but the infection stays. Weeks later a second stage can follow with a mild rash, also on the palms and soles, sometimes with fever or a flu-like feeling.

How do you get syphilis?

Through unprotected sexual contact. Even after the sore has gone, the infection can still be contagious.

Is syphilis dangerous and is treatment needed?

Untreated, syphilis can after years cause damage to the heart and nervous system, among other things. Treatment with antibiotics is effective; the earlier, the better. If you are pregnant, always inform your doctor or midwife. Certainty about syphilis comes from a blood test, for example through a GP or a sexual health clinic.

When should you see a dermatologist?

When you have a sore or a rash and want to know what it fits. Upload your photos discreetly through the app and receive an assessment from a registered dermatologist within 12 to 48 hours, with advice on the next step. If the picture fits syphilis, a blood test is the next step; the dermatologist will tell you exactly how.

Frequently asked questions

Is syphilis curable?

Yes. Syphilis is well treatable with antibiotics, especially in an early stage.

The sore has gone on its own, am I cured?

No. The sore disappears on its own, but the infection stays in the body and still needs treatment.

Can a dermatologist diagnose syphilis from photos?

A dermatologist can assess whether the skin picture fits syphilis. Only a blood test gives certainty; you will be referred for it directly.

Is syphilis dangerous?

Untreated, syphilis can in time cause serious damage. With treatment the outlook is good, so do not wait to get certainty.

Sources and more information

  • Syphilis (NVDV)
Source: NVDV

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