[Question #2841] Syphilis Follow Up cont.

40 months ago
Hello again,

I am aware that by making a further post I am in breach of forum rules, but I was very keen to have one final piece of my previous question addressed. Having taken the 1g of Azithromycin 7 days after my potential exposure and 10 days before the appearance of the skin legion, is it your opinion that this was ever a syphilis sore / chancre below my lip, or would it’s presentation after the antibiotics suggest otherwise.

Thankyou yet again and I will have no further questions. 
Edward W. Hook M.D.
Edward W. Hook M.D.
40 months ago
The combination of your doctors assessment, your negative tests and the fact that you had taken azithromycin combine to prove that the lesion on your lip was not syphilis.  You really need to move on form this.  EWH
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40 months ago
Many thanks for your response. I also wanted to quickly address the fact I didn’t mention the Azithromycin in my original conversation with you. This was by no means obsfucation on my part, but a genuine oversight as I didn’t at that time realize the information may be relevant. Apologies.

I am genuinely trying to move on now and in no small part this is down to the help given via this service.
Edward W. Hook M.D.
Edward W. Hook M.D.
40 months ago
Understood.  Take care.  EWH
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40 months ago
Hello one final time. I am aware that my anxiety is driving me to ask this question and I have my first CBT appointment on Thursday in an attempt to properly move on and put this all behind me.

In the meantime I do have question that I hope you may respond to.  I am struggling to accept that the lesion I had was not syphilis (despite all the evidence to the contrary) and my partner developed a bump on her cheek (about an inch to the side of her mouth) 11 days ago. For the first couple of days it hurt when she touched it, but it never came to a head. Since then she has developed a slightly raised, red / pink area which looks to have a tiny erosion at its centre. 

My concern (which I know everyone considers irrational) is whether this presents like syphilis. My own Doctor said that as the papule hurt when prodded, it would not be syphilis. Does this sound correct to you?

Apologies in advance for feeling the need to return and ask a further question. As I won’t be here again, I thank you again for your time, insights and patience. 
40 months ago
I just wanted to clarify; it only hurt for the first two days, since then it has been painless. Thank you.
Edward W. Hook M.D.
Edward W. Hook M.D.
40 months ago
Your struggle is a psychological issue.  Hopefully working with a counselor will help this. 

Syphilis lesions are typically painless.  On the other hand, folliculitis is classically tender to the touch, even if i does not come to a head and form a pustule.  Both your lesion and your partner's are more consistent with folliculitis than any STI.  EWH
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