What should be done for syphilis patients experiencing circular peeling of the skin on their fingers?

Ring-shaped peeling on the fingers of syphilis patients should be managed through timely follow-up visits to assess the condition, standardized anti-syphilis treatment, enhanced local skin care, avoidance of irritation or injury, and monitoring of symptom changes. This symptom may be related to active syphilis or a reaction to treatment. If peeling is accompanied by ulcers, increased pain, fever, or new rashes in other areas, prompt medical attention is recommended.

1. Timely follow-up evaluation: Return as soon as possible to the dermatology or sexually transmitted diseases department of a reputable hospital. Inform the doctor about the peeling symptoms and undergo serological testing for syphilis to evaluate disease activity and determine whether the peeling is due to syphilitic rash or a post-treatment skin reaction.

2. Standardized anti-syphilis treatment: Strictly adhere to medical instructions to complete the full course of appropriate-dose anti-syphilis medication. Do not discontinue or reduce medication on your own. Ensure effective elimination of *Treponema pallidum* (the causative agent) to address the root cause of symptoms.

3. Enhanced local skin care: Gently wash the fingers with lukewarm water, avoiding irritating soaps or hand cleansers. After washing, pat dry gently with a clean soft towel. Keep the affected area clean and dry to reduce the risk of bacterial growth.

4. Avoid irritation and injury: Do not peel or tear off loose skin, scratch, or rub the affected area. Avoid contact with detergents, chemicals, and other irritants. Wear cotton gloves to protect the hands and prevent skin damage from worsening symptoms.

5. Monitor symptom changes: Observe daily the extent and appearance of peeling, and note any accompanying itching or pain. Record changes in symptoms and report them promptly during follow-up visits to allow adjustment of treatment or care strategies.

Maintain hand hydration in daily life by using mild, non-irritating moisturizers or hand creams regularly. Avoid prolonged exposure to water or dry environments. Maintain a balanced diet rich in vitamins and ensure regular sleep patterns to strengthen overall health and support skin healing and recovery from syphilis.