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Chancre

Genital ulcer

Summary

Genital ulcer

Chancres on the face and hand. Up-left: upper lip, Up-right: lower lip, Bottom-right: right upper eyelid, Bottom-right: thumb.

A chancre ( ) is a painless genital ulcer most commonly formed during the primary stage of syphilis. This infectious lesion forms around 21 days after the initial exposure to Treponema pallidum, the gram-negative spirochaete bacterium causing syphilis, but can range from 10 to 90 days. Without treatment it may persist for two to six weeks before healing. Chancres transmit syphilis through direct physical contact. These ulcers usually form on or around the anus, mouth, penis and vulva.

Chancres are also associated with the African trypanosomiasis (sleeping sickness), surrounding the area of the tsetse fly bite.

Similarities with chancroid

Two chancres on the penile shaft, caused by primary syphilis. Chancres develop at the site of ''Treponema pallidum'' inoculation.

Similarities between the conditions chancre and chancroid:

Both originate as pustules at the site of inoculation, and progress to ulcerated lesions
Both lesions are typically 1–2 cm in diameter
Both lesions are caused by sexually transmissible organisms
Both lesions typically appear on the genitals of infected individuals

Differences from chancroid

Chancre	Chancroid
Caused by Treponema pallidum infection	Caused by Haemophilus ducreyi infection
Typically painless	Typically painful
Typically single lesion	Typically multiple lesions
Regional bilateral lymph node enlargement	Regional unilateral lymph node enlargement
Typically exudes serum	Typically has a grey or yellow purulent exudate
Hard (indurated) base with sloping edges	Soft base with undermined edges
Heals spontaneously within three to six weeks	Requires antibiotic treatment

Chancres can occur in the pharynx as well as on the genitals. Not to be confused with condylomata lata, which is seen in secondary syphilis.

Etymology

The word "chancre" () means "little ulcer" in Old French. Related to the English "canker", they both come from the Latin cancer, meaning "crab", which is a translation from the Greek word καρκίνος (karkínos), also meaning "crab".

References

[http://medical-dictionary.thefreedictionary.com/chancres chancres] thefreedictionary{{full citation needed. (February 2017)
"Chancroid".
"What's the Difference Between a Chancre and a Chancroid?".
link. (2012-08-06 {{full citation needed). (February 2017)
Ayto, John. (1990). "Dictionary of Word Origins". Arcade Publishing, Inc.

Wikipedia Source

This article was imported from Wikipedia and is available under the Creative Commons Attribution-ShareAlike 4.0 License. Content has been adapted to SurfDoc format. Original contributors can be found on the article history page.

bacterium-related-cutaneous-conditions medical-signs syphilis

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