Stages of Syphilis Early Primary: • Painless chancre • Regional lymphadenopathy Early Secondary: • Fever, malaise • Rash (can include palms and soles) • Pharyngitis • Condyloma lata • Mucous patch Early Latent: • Positive serologic testing • No symptoms • Within first year of infection Late Tertiary: • Cardiovascular • Aortitis, thoracic aortic aneurysm, arteritis • Gummatous • Nodular lesions in bone, skin, etc. Late Latent: • Positive serologic testing • >1 year after serologic testing • Time of infection unknown - VA Joint Chiefs @BostonChiefs #Syphilis #Stages #symptoms #signs #diagnosis