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Gastric Syphilis
Syphilis Gastric

Presentation

Gastroscopy should be considered if syphilis of the tonsil is observed, particularly when gastrointestinal symptoms are present. Both the oral and the gastric lesion can be mistaken for malignant neoplasm. [ncbi.nlm.nih.gov]

Gastrointestinal

  • Gastropathy

    Mosnier JF, et al., Hypertrophic gastropathy with gastric adenocarcinoma: Menetrier’s disease and lymphocytic gastritis? Gut. 1991;32:1565-7. INTERNET Feldman M and Jensen PJ. Large gastric folds: Hyperplastic and nonhyperplastic gastropathies. [rarediseases.org]

    Immuno-peroxidase technique (ABC method) used in formalin-fixed gastric biopsy specimens is extremely useful and essential for the diagnosis of syphilitic gastropathy. Copyright © 1989, Igaku-Shoin Ltd. All rights reserved. [webview.isho.jp]

    Ulceroinfiltrative syphilitic gastropathy: silver stain diagnosis from biopsy specimen. Am J Gastroenterol 1987;82:773–774. 9. Winters HA, Notar-Francesco V, Bromberg K, Rawstrom SA, Vetrano J, Prego V, Kuan J, Raufman JP. [synapse.koreamed.org]

    A hypertrophic and/or polypoid type of gastritis resembling Ménétrier’s disease with a similar type of protein-losing gastropathy has been described. 58, 59 Examination of biopsy specimens shows inflammatory debris, chronic active gastritis, and enlarged [clinicalgate.com]

Workup

Patients who do not demonstrate improvement within this time period usually require further diagnostic workup or surgical intervention, or both. [cdc.gov]

Gastroscopy

  • Gastric Lesion

    Both the oral and the gastric lesion can be mistaken for malignant neoplasm. [ncbi.nlm.nih.gov]

Treatment

Response to treatment is usually prompt and complete. The current syphilis epidemic will likely result in an increased incidence of gastric syphilis. [ncbi.nlm.nih.gov]

Review the latest developments in the field and get up-to-date clinical information on hot topics like polyps, capsule endoscopy, and pancreatic treatments. [books.google.com]

Prognosis

Prognosis [ edit ] Left untreated, tabes dorsalis can lead to paralysis, dementia, and blindness. Existing nerve damage cannot be reversed. Epidemiology [ edit ] The disease is more frequent in males than in females. [en.wikipedia.org]

If the disease is recognized only by histologic examination, the prognosis is good. Prolonged (6- to 12-month) high-dose antibiotic treatment with penicillin or amoxicillin is indicated. [clinicalgate.com]

Etiology

The findings are etiologically non-specific and a high index of clinical suspicion is needed to prompt further evaluation and definitive diagnosis. [uscapknowledgehub.org]

Other rare etiologies for gastric ulcers may include unusual systemic diseases and unusual infectious pathogens. - Uncommon systemic diseases: Crohn's disease, mastocytosis, amyloidosis, sarcoidosis, vasculitis, eosinophilic gastroenteritis, and Zollinger-Ellison [karger.com]

Urologic examinations do not usually reveal a specific etiology. [cdc.gov]

Sanchez J, Volquez C, Totten PA, Campos PE, Ryan C, et al. (2002) The etiology and management of genital ulcers in the Dominican Republic and Peru. Sex Transm Dis 29: 559–567. View Article Google Scholar 57. [journals.plos.org]

The etiology of anorectal infections in homosexual men. Am J Med. 1981; 71 :395–406. [ PubMed ] [ Google Scholar ] 269. [ncbi.nlm.nih.gov]

Epidemiology

Studies in the epidemiology of syphilis: epidemiologic investigations in a series of 996 cases of acquired syphilis. Vener Dis Inform. 1940; 21 :349–369. [ Google Scholar ] 55. Clark E G, Danbolt N. [ncbi.nlm.nih.gov]

Epidemiology The number of cases in the UK is on the increase. In recent years there have been particular outbreaks in certain cities in the UK. [almostadoctor.co.uk]

An epidemiologic investigation based on a restudy of the Boeck-Bruusgaard material. J Chronic Dis 2: 311–344. View Article Google Scholar 21. [journals.plos.org]

Epidemiology [ edit ] The disease is more frequent in males than in females. Onset is commonly during mid-life. The incidence of tabes dorsalis is rising, in part due to co-associated HIV infection [ citation needed ]. [en.wikipedia.org]

Lau JY, Sung J, Hill C, Henderson C, Howden CW, Metz DC: Systematic review of the epidemiology of complicated peptic ulcer disease: incidence, recurrence, risk factors and mortality. Digestion 2011;84:102-113. [karger.com]

Prevention

Chapter 69 Surrogate Markers of Antiretroviral Efficacy 826 Overcoming Barriers to Providing ARV Therapy in ResourceLimited Settings 831 Chapter 71 Antiretroviral Drugs for HIV Prevention 836 Chapter 72 Acute HIV Infection 843 Chapter 73 Opportunistic [books.google.com]

Prevention Messages Preventing the spread of STDs requires that persons at risk for transmitting or acquiring infections change their behaviors. [cdc.gov]

Gastric acidity would not prevent the organism from passing into the gut. 胃的酸度不能防止细菌进入肠道。 a gastric duodenal ] ulcer 胃十二指肠]溃疡 gastric stasis may result in nausea and vomiting 胃潴留可引起恶心和呕吐。 The wall of the stomach secretes gastric juice. 胃壁分泌胃液。 [hujiang.com]

Mucus – fd in moderate amts secreted by GOBLET cells of stomach to prevent autodigestion of stomach 4. Composition6.) Electrolytes – main electrolytes present is H+; also present are Na, Cl, P, Ca and Mg7.) [slideshare.net]

Division of STD Prevention. Sexually transmitted disease surveillance, 1996. Atlanta, Ga: Centers for Disease Control and Prevention; 1997. [ Google Scholar ] 73. Division of STD Prevention and Control. Syphilis: epidemiology and control. [ncbi.nlm.nih.gov]

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