Sexually acquired syphilis: Historical aspects, microbiology, epidemiology, and clinical manifestations

J Am Acad Dermatol. 2020 Jan;82(1):1-14. doi: 10.1016/j.jaad.2019.02.073. Epub 2019 Apr 12.

Abstract

Syphilis is caused by infection with the spirochetal bacterium Treponema pallidum subsp. pallidum. It was first recognized in the late 15th century. Since 2000, the incidence of sexually acquired syphilis has increased substantially in the developed world, with men who have sex with men and persons living with HIV infection disproportionately affected. Clinical manifestations of syphilis are protean and often include mucocutaneous manifestations. The first article in this continuing medical education series reviews historical aspects, microbiology, epidemiology, and clinical manifestations of sexually acquired syphilis.

Keywords: dermatology; sexually transmitted disease; syphilis.

Publication types

  • Review

MeSH terms

  • Education, Medical, Continuing
  • HIV Infections / diagnosis
  • HIV Infections / epidemiology
  • Homosexuality, Male / statistics & numerical data*
  • Humans
  • Male
  • Prevalence
  • Risk Assessment
  • Sexual Behavior
  • Sexually Transmitted Diseases, Bacterial / diagnosis
  • Sexually Transmitted Diseases, Bacterial / epidemiology
  • Syphilis / diagnosis*
  • Syphilis / epidemiology*
  • Syphilis, Cutaneous / diagnosis
  • Syphilis, Cutaneous / epidemiology
  • Treponema pallidum / isolation & purification*
  • United States / epidemiology

Supplementary concepts

  • Syphilis, secondary