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Syphilis of the nose

Syphilis of the nose manifests itself in the form of primary sclerosis, secondary and tertiary symptoms. Hard chancre (ulcus durum) is very rare. It can be localized at the entrance to the nose, on its wings and the skin of the nasal septum. Infection of these sections of the nose more often occurs by injuring the skin with a finger. With the development of a syphilitic process in the nose, a reaction occurs on the occipital and submandibular lymph nodes: they become swollen, but painless to the touch. When viewed in the area of ​​the vestibule of the nose, smooth painless red erosion of 0.2x0.3 cm in size is determined. The edges of erosion have a roll-like thickening, the bottom is covered with greasy plaque. On palpation under erosion, cartilage density infiltrate is detected.

Secondary syphilis, whose duration is 3-4 years, is characterized by generalization of infection. Secondary syphilides in the nose have the appearance of erythema (roseola, pink spot) and papules (nodule of bluish-red color, dense). Erythema is always accompanied by swelling of the mucous membrane and the appearance of a bloody-serous or mucous discharge. The presence of such secretions in newborns or infants should alert the doctor regarding the specificity of the process. A runny nose of a syphilitic nature in a child is lingering. When the secretions dry and crusts form, breathing through the nose is difficult. Papular rashes appear later and are localized on the skin of the entrance to the nose, less often in the nasal cavity. With the disintegration of papules, the mucous discharge constantly irritates the ulcerated surface, which prevents healing.

The tertiary form of syphilis is characterized by the formation of diffuse infiltrates, or gum, undergoing decomposition.
Gumma - a node of dense consistency the size of a walnut, painless on palpation - can be localized in the mucous membrane, bone, periosteum and cartilage, while bone tissue necrosis occurs with the formation of sequesters. With tertiary syphilis, the pathological process is most often localized in the bone section of the nasal septum and the bottom of the nose. In the latter case, with the decay of gum, a message may occur with the oral cavity. The main symptom is pain. Patients complain of severe pain in the nose, forehead and orbits. When the bone is damaged, a fetid odor joins the pain, and bone sequestration can often be found in the discharge from the nose. As a result of the destruction of the bones of the nose, it acquires a saddle shape.

D and a g n about with t and to and. The solid chancre, localized on the threshold of the nose, should be differentiated from the boil. However, with a boil, limited pustules with decay in the center are determined. With secondary syphilis, the diagnosis is established on the basis of the formation of papules on the lips, in the mouth and anus. In the tertiary period of the development of the process, the basis of diagnosis is the results of the Wassermann reaction and histological examination of a piece of tissue.

Etiotropic treatment: preparations of penicillin, erythromycin, tetracycline, oletetrin, doxycycline, cefazolin, in the later stages - bismuth preparations (bioquinol, bismoverol), pyrogenal, prodigiosan. Locally - a shower for the nose with a solution of sodium bicarbonate, washing the nasal cavity with a 0.1% solution of potassium permanganate. Deformation of the external nose can be eliminated through plastic surgery, which is performed after the complete cure of syphilis.
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Syphilis of the nose

  1. Syphilis of the nose
    Syphilitic lesions of the nose are currently extremely rare. Primary syphilis of the nose develops when pale treponema penetrates through microscopic lesions of the skin or mucous membrane of the nose (the so-called extragenital route of infection). This is possible as a result of infection by poorly disinfected instruments used in the examination of patients with syphilis, or
  2. Deformations of the nasal septum, synechia and atresia of the nasal cavity
    The etiologic deformation of the nasal septum may be due to physiological, traumatic, and compensatory factors. Physiological curvature occurs when there is a mismatch in the growth of the nasal septum and the bone frame into which it is inserted. The growth of the septum is slightly ahead of the growth of the facial skeleton, so its curvature occurs. In childhood, physiological
    The fact of transmission of syphilis to offspring was established in the late 15th - early 16th centuries. For several centuries, the question of the mechanism of transmission of syphilitic infection remained unclear. For centuries, the germinative hypothesis was dominant, according to which syphilis is transmitted to the fetus only by the father through a sperm that directly infects the egg cell. According to this view, a child with syphilis
  4. Congenital syphilis. Fetal syphilis
    Under the influence of treponem, changes that occur in the placenta make it functionally inferior, as a result of which its intrauterine death occurs at the 6-7th month of pregnancy. The dead fruit is pushed out on the 3-4th day, usually in a macerated state. The macerated fruit, compared with a normally developing fruit of the same age, has significantly smaller sizes and weights. Leather
    Currently, there is a large group of sexually transmitted infections (STIs). Classification of STIs (WHO, 1982) Bacterial nature 1. Syphilis and other treponematoses (pint, frambesia, bezhel) 2. Gonorrhea 3. Chancroid 4. Venereal lymphogranulomatosis 5. Donovanosis 6. Urogenital chlamydia and Reiter’s disease 7. Urogenital mycoplasmosis (in t .h.
  6. The course of the secondary and tertiary periods of syphilis. Malignant course of syphilis
    Secondary period. This period begins with the onset of the first generalized rashes (on average 2.5 months after infection) and lasts in most cases for 2–4 years. The duration of the secondary period is individual and is determined by the characteristics of the patient's immune system. In the secondary period, the most pronounced wave-like course of syphilis, i.e., alternation
  7. Tertiary syphilis. Congenital syphilis.
    Tertiary syphilis. Congenital
  8. Treatment of patients with syphilis. Cure criterion. Clinical examination of patients with syphilis
  9. Tuberculosis of the nose
    Mycobacterium tuberculosis, spreading along the lymphatic and circulatory pathways, enter the nose from the focus, which may be in the lungs, joints or larynx. In rare cases, the infection enters the nasal mucosa by contact. The pathomorphological substrate of the disease is infiltration - an accumulation of specific tubercles in the submucosal layer. Tuberculous tubercle
  10. Nose injuries
    Clinical picture Damage to the external nose is very common. The degree of damage to soft tissues, bone and cartilage skeleton depends on the nature of the injury, the direction and strength of the impact. Most often, the nasal bones and septum are damaged, less often fractures of the frontal processes of the upper jaw and the walls of the paranasal sinuses occur. Sometimes there is damage to the nose with a break in its tip or edge. Injuries
  11. Anatomy of the nose
    In clinical and anatomical terms, the nose is divided into external and internal departments. The external nose, nasus externus, is an important anatomical component of the face, largely determining its individual characteristics. The external shape of the nose is compared with a trihedral pyramid. In the outer nose, there are: 1) the root located between both eye sockets, 2) the tip (tip) of the nose, 3) the back
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