Syphilis (primary)

Transmission: Unprotected sex, or skin/ulcer contact with infected person

Incubation period: 2-3 weeks

Primary Symptoms:

  • A chancre (small, round, red sore/ulcer) will normally appear on the area where the infection entered the body. Sometimes the chancre may appear on your lips, tonsils, hands, genitals or buttocks.
  • The sore then disappears within 2-6 weeks, but if it has not been treated you can get secondary syphilis.

Secondary symptoms: (normally 2-8 weeks after the chancre has disappeared)

  • A non-itchy rash, often on the palms or soles of your feet
  • Small flat growths (a bit like warts) around the vagina or anus
  • Flu-like symptoms such as headaches, fever, joint pains and tiredness
  • Swollen glands in your neck, armpits or groin
  • Weight loss
  • White patches on the tongue or roof of the mouth
  • Patchy hair loss

Tertiary symptoms – these further complications may occur years later if left untreated:

  • Meningitis
  • Strokes
  • Dementia symptoms
  • Loss of co-ordination
  • Numbness
  • Vision problems or blindness
  • Heart problems

Testing: A blood test. Oran examination of the genitals or anus, Swab test if there is a sore – results between 7 to 10 days

Treatment: Penicillin or a course of antibiotic tablets (10-14 days or 28 days depending on duration of the infection)

AIDS Quilt UK at Tate Modern

 View the full AIDS Memorial Quilt at Tate Turbnine Hall 12 to 16 June 2025