Developing a Topology of Syphilis in the United States

Bernstein, Kyle T.; Grey, Jeremy A.; Bolan, Gail; Aral, Sevgi O.

doi:10.1097/olq.0000000000000817

Cited by 6 publications

(4 citation statements)

References 32 publications

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“…Despite an increasing recognition of the structural determinants of health-those determinants driven by political, social and economic forces which produce and maintain poor health outcomes-most research into congenital syphilis has focused on the individual psychosocial and behavioral factors that contribute to maternal vulnerability for syphilis. Very few published studies have attempted to examine how structural determinants of health contribute to congenital syphilis vulnerability [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

A qualitative assessment of structural barriers to prenatal care and congenital syphilis prevention in Kern County, California

et al. 2021

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Congenital syphilis is the result of placental transmission from mother to fetus of Treponema pallidum. Although congenital syphilis is preventable through timely treatment, the rate of new infections in the United States (US) has increased each year since 2013, and is increasing at a noticeably greater pace in California (CA). Most research into congenital syphilis has focused on individual psychosocial and behavioral factors that contribute to maternal vulnerability for syphilis. The aim of this study was to evaluate structural barriers to prenatal care access and utilization and congenital syphilis prevention in Kern County, CA. Transcripts from 8 in-depth interviews with prenatal care providers and 5 focus group discussions with 42 pregnant and postpartum persons were examined using thematic analysis. Structural barriers experienced by pregnant and postpartum persons to prenatal care access and utilization included (1) burdens of poverty; (2) stigma around substance use in pregnancy; (3) citizenship status; (4) lack of healthcare coverage; (5) low sexual health literacy; and (6) gender inequality Structural barriers experienced by prenatal care providers in congenital syphilis prevention included (1) limited guidance on clinical management of syphilis in pregnancy; (2) decay in public health infrastructure; and (3) inadequate support for managing patients’ social comorbidities. The response to congenital syphilis prevention will require an examination of the complex context of social determinants of health in which persons diagnosed with syphilis live in.

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Section: Introductionmentioning

confidence: 99%

A qualitative assessment of structural barriers to prenatal care and congenital syphilis prevention in Kern County, California

et al. 2021

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“…Even in the absence of additional examination findings, clinicians should maintain an index of suspicion for secondary syphilis in appropriate cases of umbilical involvement. Given the recent dramatic rise in the incidence of primary and secondary syphilis [10,11], we expect that this will be of increasing relevance to clinicians.…”

Section: Case Discussionmentioning

confidence: 99%

Umbilical condyloma lata

Alexanian¹,

Le²,

Ma³

et al. 2019

Dermatology Online Journal

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“… 1 Incidences of both primary and secondary syphilis have also dramatically risen. 2 A variety of signs can be produced by secondary syphilis, and it was once considered “the great imitator” 3 due to the numerous types of skin lesions that could be attributed to secondary syphilis. The typical skin manifestation of secondary syphilis is a diffuse maculopapular rash.…”

Section: Introductionmentioning

confidence: 99%

Solitary Interdigital Condyloma Latum in a Female Adolescent: A Case Report of an Unusual Form of Secondary Syphilis

You¹,

Wang²,

Liao³

et al. 2023

IJWH

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Condylomata lata are flat-topped, moist papules or plaques usually found in the anogenital area as cutaneous manifestations of secondary syphilis. Here, we present a unique case of a solitary interdigital condyloma latum of secondary syphilis in a 16-year-old female sex worker without other cutaneous findings. Sexual contact history, histopathology, including direct detection of Treponema pallidum , and serological tests were essential for the diagnosis of this case. The patient reached serological cure with two doses of intramuscularly delivered penicillin G benzathine. Owing to the dramatic rise in the incidence of primary and secondary syphilis, medical workers should be aware of the atypical skin manifestations of secondary syphilis in adolescents who are at risk of acquiring sexually transmitted diseases to avoid the progression to late syphilis and further transmission to sexual partners.

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Developing a Topology of Syphilis in the United States

Cited by 6 publications

References 32 publications

A qualitative assessment of structural barriers to prenatal care and congenital syphilis prevention in Kern County, California

A qualitative assessment of structural barriers to prenatal care and congenital syphilis prevention in Kern County, California

Umbilical condyloma lata

Solitary Interdigital Condyloma Latum in a Female Adolescent: A Case Report of an Unusual Form of Secondary Syphilis

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