Chancre

Chancre on the underside of the penis

A chancre (/ˈʃæŋkər/ SHANG-kər)^[1] is a painless ulceration (sore) most commonly formed during the primary stage of syphilis. This infectious lesion forms approximately 21 days after the initial exposure to Treponema pallidum, the gram-negative spirochaete bacterium yielding syphilis. Chancres transmit the sexually transmissible disease of syphilis through direct physical contact. These ulcers usually form on or around the anus, mouth, penis, and vagina. Chancres may diminish between four and eight weeks^[2] without the application of medication.

Chancres, as well as being painless ulcerations formed during the primary stage of syphilis, are associated with the African trypanosomiasis sleeping sickness, surrounding the area of the tsetse fly bite.

Etymology

The word "chancre" (French pronunciation: ​[ʃɑ̃kʁ]) means "little ulcer" in Old French. Related to the English "canker", they both come from the Latin cancer, meaning "crab",^[3] which is a translation from the Greek word καρκίνος (karkínos), also meaning "crab".^[4]

Similarities with chancroid

Two chancres on the penile shaft, caused by primary syphilis. Chancres develop at the site of Treponema pallidum inoculation.

Similarities between the conditions chancre and chancroid:

• Both originate as pustules at the site of inoculation, and progress to ulcerated lesions
• Both lesions are typically 1–2 cm in diameter
• Both lesions are caused by sexually transmissible organisms
• Both lesions typically appear on the genitals of infected individuals

Differences from chancroid

Differences between the conditions chancre and chancroid:

• Chancre is a lesion typical of infection with the bacterium that causes syphilis, Treponema pallidum
• Chancroid is a lesion typical of infection with the bacterium Haemophilus ducreyi
• Chancres are typically painless, whereas chancroid are typically painful
• Chancres are typically Single, whereas chancroid are typically multiple
• Chancres cause regional bilateral lymph node enlargement, whereas chancroid cause regional unilateral lymph node enlargement
• Chancres typically exude serum, whereas chancroid typically have a grey or yellow purulent exudate
• Chancres have a hard (indurated) base with sloping edges, whereas chancroid have a soft base with undermined edges
• Chancres heal spontaneously within three to six weeks, even in the absence of treatment
• Chancres can occur in the pharynx as well as on the genitals. Not to be confused with condyloma lata, which is seen in secondary syphilis

See also

• Primary cutaneous histoplasmosis
• Syphilis

References