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Rashes on legs and edema in ankles - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Rash
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
User :   hi
Doctor :   How can I help you
User :   ok my symptoms are rash on both legs, edema in ankles, burning aching in legs, slight fevers, sore throat.. I think I may have syphilis.. I went to the local health clinic last monday.. they took a blood sample and told me to come back in two weeks.
Doctor :   Ok
User :   It's been one week and it seems like it's getting worse... my feet are swollen and they hurt... if I went to the emergency room at my local hospital.. would they be able to test and treat me if I tested positive for syphilis?
Doctor :   May I know your age and gender?
User :   I just don't know what else to do.. and I can't wait another week to go back to the clinic...
Doctor :   And since when are you having these symptoms?
User :   40 male
User :   the edema was the first to start... like on and off for 2 months.. the rash and other symptoms didn't start til like 4 weeks ago
Doctor :   Are you sexually active?
User :   i was in a relationship for 2 years that just ended in April, but haven't been sexually active since then
Doctor :   Ok
Doctor :   May I know where exactly do you notice the rash?
User :   it's my entire legs from waist to ankles
User :   and it's kind looks like hives
Doctor :   Do you have any other medical illness such as diabetes/hypertension/heart disease/liver disease or a renal disease?
User :   no I don't
Doctor :   Let me brief you.
User :   during the last two months, I went to the ER.. and both times they diagnosed me with cellulitis and gave me an antibiotic to take..
Doctor :   The diagnosis of syphillis can only be established by the blood reports.
User :   right I understand that
User :   but if i went to the hospital ER.. would they test and treat me if i do have syphilis? or do they not handle such cases?
Doctor :   As your symptoms are not similar to the ones normally seen.
Doctor :   However the odema in the ankles can be of concern if they have been persisting without any factors that can relieve it.
Doctor :   Have you followed what I have suggested?
Doctor :   Are you there?
User :   yes
User :   when i went to the ER last time.. they check my blood and I got a ultrasound... but everything was fine
Doctor :   Can I know what blood test were done?
User :   i'm not really sure
Doctor :   Ok
Doctor :   let me brief you.
User :   ok
Doctor :   There are more chances that your symptoms may not be due to syphillis, the reasons for my assumptions are
Doctor :   1. You do not have history of high risk exposure, that is history of exposure with an infected person.
Doctor :   2. Your symptoms do not appear to be the ones commonly noticed.
Doctor :   Commonly one with syphillis come with rashes in the genital regions described as a chancre
User :   i had syphilis about 7 years ago and the rash covered my entire body
User :   and it looked very similar to what i have on my legs right now
Doctor :   Ok
Doctor :   if you have had history of syphillis in the past, there are chances that these rashes may be due to the syphillis.
User :   will the hospital take a blood test and treat me if it is syphilis.. or will they tell me to wait the week and go to the clinic and go the appt. I already have with the health clinic
Doctor :   you may need penicillin treatment in such situations.
Doctor :   Since I cannot perform a physical examination on your rash, I suggest you to consult a dermatologist.
Doctor :   A physical examination will be able to confirm if the rash is similar to the chancre.
Doctor :   If a physical examination proves that its a syphillitic rashes, then you can be started on the penicillin treatment straight away.
Doctor :   Have you followed what I have suggested?
User :   yes
Doctor :   Do you have any other query that I can assist you with?
User :   no i think that's about what I wanted to know...
User :   thank you for your help.. have a good day!
Doctor :   Thanks for consulting me. Bye for now.
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