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Поражает кожу, слизистые оболочки, внутренние органы, нервную систему и без лечения приводит к серьёзным осложнениям [1](https://www.fdoctor.ru/bolezn/sifilis/). \n\nТечение сифилиса волнообразное, с чередованием периодов обострения и стихания симптомов [5](https://www.VIDAL.ru/encyclopedia/dermatology/sifilis).\n\n\n\n## Причины\n**Преимущественно** сифилис передаётся половым путём при сексуальных контактах [1](https://www.fdoctor.ru/bolezn/sifilis/)[2](https://www.synex.ru/blog/sifilis-simptomy-priznaki-lechenie-i-profilaktika/). **Другие пути заражения**: \n* трансплацентарный — через плаценту от матери к плоду (врождённый сифилис) [1](https://www.fdoctor.ru/bolezn/sifilis/)[6](https://www.emsclinic.ru/services/konsultacii-dlya-vzroslyh/urology/sifilis-u-muzhchin); \n* трансфузионный — при переливании крови [1](https://www.fdoctor.ru/bolezn/sifilis/); \n* контактно-бытовой — через различные предметы (крайне редко) [1](https://www.fdoctor.ru/bolezn/sifilis/). \n\n**Иммунитет** не вырабатывается, поэтому после полного излечения можно заразиться повторно [1](https://www.fdoctor.ru/bolezn/sifilis/).\n\n## Симптомы\n**Выделяют три стадии течения сифилиса** [1](https://www.fdoctor.ru/bolezn/sifilis/): \n1. **Первичный** — на месте проникновения бледной трепонемы в организм появляется **твёрдый шанкр** — безболезненная округлая язва с плотными ровными краями и тёмно-красным дном [1](https://www.fdoctor.ru/bolezn/sifilis/). Через 1–2 недели после появления шанкра бактерии распространяются по организму, и начинается увеличение лимфатических узлов [1](https://www.fdoctor.ru/bolezn/sifilis/). \n2. **Вторичный** — через несколько недель после заживления твёрдого шанкра на коже появляется сыпь — красные пятна на шее, груди и верхней части спины, ладонях и подошвах [1](https://www.fdoctor.ru/bolezn/sifilis/). Высыпания не зудят и не причиняют дискомфорта, сохраняются до 2–6 недель [1](https://www.fdoctor.ru/bolezn/sifilis/). \n3. **Третичный** — спустя много лет после заражения без соответствующего лечения появляется сыпь на коже — мелкие бугорки (сифилиды) [1](https://www.fdoctor.ru/bolezn/sifilis/). Такая сыпь может спонтанно исчезать и возвращаться [1](https://www.fdoctor.ru/bolezn/sifilis/). В этот период также развивается поражение внутренних органов и нервной системы [1](https://www.fdoctor.ru/bolezn/sifilis/).\n\n## Диагностика\n**При появлении симптомов сифилиса** нужно обратиться к врачу-дерматовенерологу [1](https://www.fdoctor.ru/bolezn/sifilis/). **Для диагностики** используют лабораторные методы — анализ крови на определение антител к бледной трепонеме [1](https://www.fdoctor.ru/bolezn/sifilis/). Также могут назначить: \n* **Микроскопию в тёмном поле** — исследование, которое помогает обнаружить живых трепонем в материале, взятом из сифилитических язв или эрозий [13](https://analizytut.ru/info/articles/vidy-analizov-na-sifilis/). \n* **ПЦР-диагностику (полимеразную цепную реакцию)** — высокочувствительный метод, выявляющий ДНК трепонемы в биологическом материале [13](https://analizytut.ru/info/articles/vidy-analizov-na-sifilis/).\n\n## Лечение\n**Лечение сифилиса** включает приём антибактериальных препаратов [1](https://www.fdoctor.ru/bolezn/sifilis/). 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