Tertiary syphilis, secondary syphilis

Condition analysis:
 The stage may not develop for 3 to 15 years after the initial infection. It is characterized by the appearance of soft, rubbery tumors, called gummas; the valves of the heart may be damaged, and late stages may lead to mental or physical disability and premature death.

Instructions:
Secondary syphilis: A skin rash, with brown sores about the size of a penny, often marks this chronic stage of syphilis. The rash appears anywhere from 3 to 6 weeks after the chancre appears. While the rash may cover the whole body or appear only in a few areas, it is almost always on the palms of the hands and soles of the feet.

Because active bacteria are present in the sores, any physical contact-sexual or nonsexual-with the broken skin of an infected person may spread the infection at this stage. The rash usually heals within several weeks or months.

Other symptoms also may occur, such as mild fever, fatigue, headache, sore throat, patchy hair loss, and swollen lymph glands throughout the body. These symptoms may be very mild and, like the chancre of primary syphilis, will disappear without treatment. The signs of secondary syphilis may come and go over the next 1 to 2 years of the disease.