Affiliation:
1. Department of Dermatology University of California Davis, Sacramento CA USA
2. Department of Dermatology University of California, San Francisco School of Medicine, Zuckerberg San Francisco General Hospital San Francisco CA USA
Abstract
AbstractDespite reaching historical lows in the early 2000s, cases of both primary and secondary syphilis and congenital syphilis have increased dramatically in the U.S. over the last decade. In the U.S., the current syphilis epidemic is disproportionately impacting communities that have been historically underserved in medicine. These include men who have sex with men, especially those infected with HIV; people of color; and reproductive‐age women with poor access to prenatal care. With syphilis now being more commonly diagnosed in non‐STI than STI clinics in all genders, and since primary and secondary syphilis and congenital syphilis present with characteristic mucocutaneous manifestations, dermatologists are in a position to help reduce the advance of this preventable epidemic, by actively considering this diagnosis and incorporating syphilis screening into their practice. Herein, we delineate strategies by which dermatologists can contribute to this critical effort in their roles as clinicians, public health advocates, and researchers. In particular, we discuss the rapidly changing demographics of syphilis, nuances in serologic testing and treatment, strategies to increase public healthcare access and equity in these underserved populations, and research gaps in this field.
Reference52 articles.
1. Centers for Disease Control and Prevention.Syphilis elimination effort (SEE).https://www.cdc.gov/stopsyphilis/media/SyphRate11-28-01.htm. Accessed 29 May 2022.
2. Centers for Disease Control and Prevention.Sexually transmitted diseases surveillance 2020.https://www.cdc.gov/std/statistics/2020/overview.htm. Accessed 29 May 2022.
3. In Support of the Publicly Funded Sexually Transmitted Infections Specialty Clinic—ASTDA Position Statement
4. US Public Sexually Transmitted Disease Clinical Services in an Era of Declining Public Health Funding: 2013–14
5. Repeat Syphilis Among Men Who Have Sex With Men in California, 2002–2006: Implications for Syphilis Elimination Efforts