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      Brief History of Syphilis

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          Abstract

          Abstract

          Before the discovery of Treponema pallidum as the etiologic agent, the origins of syphilis have been the subject of several debates. Diverse therapeutic agents were employed in an attempt to cure the disease. Examining the milestones in the history of syphilis, the present article reviews the existing theories that tried to explain the origins of the disease, the approach in art, the cultural and the evolution of the treatments from the empiric means to the discovery of penicillin.

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          Syphilis: review with emphasis on clinical, epidemiologic, and some biologic features.

          Syphilis is a chronic disease with a waxing and waning course, the manifestations of which have been described for centuries. It occurs worldwide, and the incidence varies significantly with geographic location. Transmission is mainly by sexual contact. The causative organism, Treponema pallidum, was first described in 1905, but because of the inability to culture the organism and the limitations of direct microscopy, serologic testing is the mainstay of laboratory diagnosis. The disease has been arbitrarily divided into several stages. The primary stage is defined by a chancre at the site of inoculation. The secondary stage is characterized by a polymorphic rash, lymphadenopathy, and other systemic manifestations. A variable asymptomatic latent period follows, which for epidemiologic purposes is divided into early ( 1 year) stages. The early stages (primary, secondary, and early latent) are potentially infectious. The tertiary stage is the most destructive and is marked by cardiovascular and neurologic sequelae and gummatous involvement of any organ system. Congenital infection may result in protean early or late manifestations. Unlike many other bacteria causing infectious diseases, the organism remains sensitive to penicillin, and this remains the mainstay of therapy.
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            The origin and antiquity of syphilis revisited: an appraisal of Old World pre-Columbian evidence for treponemal infection.

            For nearly 500 years, scholars have argued about the origin and antiquity of syphilis. Did Columbus bring the disease from the New World to the Old World? Or did syphilis exist in the Old World before 1493? Here, we evaluate all 54 published reports of pre-Columbian, Old World treponemal disease using a standardized, systematic approach. The certainty of diagnosis and dating of each case is considered, and novel information pertinent to the dating of these cases, including radiocarbon dates, is presented. Among the reports, we did not find a single case of Old World treponemal disease that has both a certain diagnosis and a secure pre-Columbian date. We also demonstrate that many of the reports use nonspecific indicators to diagnose treponemal disease, do not provide adequate information about the methods used to date specimens, and do not include high-quality photographs of the lesions of interest. Thus, despite an increasing number of published reports of pre-Columbian treponemal infection, it appears that solid evidence supporting an Old World origin for the disease remains absent. Copyright © 2011 Wiley Periodicals, Inc.
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              The introduction of 'chemotherapy' using arsphenamine - the first magic bullet.

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                Author and article information

                Journal
                J Med Life
                J Med Life
                JMedLife
                Journal of Medicine and Life
                Carol Davila University Press (Romania )
                1844-122X
                1844-3117
                15 March 2014
                25 March 2014
                : 7
                : 1
                : 4-10
                Affiliations
                [* ]Dermatology Department, “Carol Davila” University of Medicine and Pharmacy, Bucharest
                [** ]Dermatology Department, ”Victor Babes” Hospital for Infectious and Tropical Diseases, Bucharest
                Author notes
                Correspondence to:Mircea Tampa, MD, PhD, Assistant Lecturer Sos. Mihai Bravu 281, 3rd District, Bucharest, Romania e-mail: tampa_mircea@yahoo.com phone: 0726382600
                Article
                JMedLife-07-4
                3956094
                24653750
                3828e4d7-1c23-4ff8-aece-c61cd563ad49
                ©Carol Davila University Press

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 14 September 2013
                : 14 January 2014
                Categories
                Review

                Medicine
                syphilis,syphilis treatment,history of syphilis
                Medicine
                syphilis, syphilis treatment, history of syphilis

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