Shape of Early Syphilitic Oral Ulcers
Disease description:
I recently developed oral ulcers, causing severe, unbearable pain and significant discomfort. I noticed oval-shaped blisters inside my mouth. My doctor diagnosed them as early-stage syphilitic oral ulcers. Could you please tell me what early-stage syphilitic oral ulcers typically look like?
Doctor's answer (1)
Dr. Zhang Liwen
Primary syphilitic oral ulcers typically present with minimal symptoms initially. They are usually round in shape, with well-defined margins and a surrounding, dewdrop-like rim. The base is flat and feels cartilaginous upon palpation. The lesion appears pinkish, with a small amount of serous exudate on its surface containing numerous spirochetes; the surrounding tissue is inflamed and erythematous. Notably, syphilitic oral ulcers exhibit a marked inflammatory response and are often accompanied by pain. In most cases, these ulcers heal spontaneously within 3–8 weeks.
