with fetid contents. The patient experiences sharp shooting pains. Painful regional
lymphadenitis.
Complications of hard chancre
1. accession of a secondary infection;
2. irritation by discharge;
3. self-medication.
Clinical manifestations:
-
Balanitis - vulgar inflammation of the glans penis;
-
Balanoposthitis - vulgar inflammation of the glans penis
and inner sheet of the
foreskin;
-
Phimosis is the narrowness of the foreskin, in which it is impossible to detect the
glans penis. The foreskin swells, loses elasticity. The penis is shaped like a
"clapper".
-
Paraphimosis - compression of the glans penis. The
glans penis is naked and
squeezed by a ring of edematous inflammatory foreskin at the border of the
coronary sulcus. Phenomena of necrosis and ulceration of the glans penis may be
observed.
-
Gangrene of the glans penis.
- Phagedenism.
The
second symptom of the primary period of syphilis is
regional sclerodenitis. It
occurs 7-10 days after the appearance of a solid chancre.
Lymph nodes are
enlarged (0.7-1 cm), dense-elastic consistency, mobile, unsoldered with
surrounding tissues, painless. The skin over the lymph ical nodes is not changed.