Tertiary syphilis: Cardiovascular Syphilis | Right Decisions

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Tertiary syphilis: Cardiovascular Syphilis

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Asymptomatic: diagnosed on clinical, radiological and echocardiographic changes.

Symptomatic: usually from aortic valve disease, aneurysmal changes of the aorta or coronary ostial occlusion.

Requires assessment by Cardiologist before treatment. Discuss with senior doctor before referring.

TREATMENT FOR CARDIOVASCULAR SYPHILIS

Treatment as for late latent syphilis plus Prednisolone 40-60mg orally once daily for three days, starting anti-treponemal treatment 24 hours after commencing prednisolone.

Partner notification and follow-up as for late latent syphilis but will also need long term follow up with cardiology. Cardiovascular lesions may progress despite adequate treatment for syphilis.

Last reviewed: 30/09/2022

Next review date: 30/09/2024

Author(s): West of Scotland Managed Clinical Network in Sexual Health Clinical Guidelines Group .

Version: 7.1

Approved By: West of Scotland Managed Clinical Network in Sexual Health