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Updated: June 8, 2025
#The Soft Sore, Soft Chancre, or Chancroid.# The differential diagnosis of syphilis necessitates the consideration of the soft sore, soft chancre, or chancroid, which is also a common form of venereal disease, and is due to infection with a virulent pus-forming bacillus, first described by Ducrey in 1889. Ducrey's bacillus occurs in the form of minute oval rods measuring about 1.5
This condition is termed bubo or "blue ball" in common language. Sometimes serious complications arise which may prove dangerous and require the individual to be confined to his bed for weeks. b. =Gonorrhea.= This is incomparably more serious than chancroid.
Chancroid is an infectious ulcer of the genitals, local in character, not affecting the body as a whole, but sometimes destroying considerable portions of the parts involved. Let us think of syphilis, then, as a serious but by no means hopeless constitutional disease. Dismiss chancroid as a relatively insignificant local affair, seldom a serious problem under a physician's care.
It is oval in shape, perhaps somewhat irregular, with a raw surface and red colored base devoid of pus. Immediately following the appearance of the chancre, the glands in direct connection with it become enlarged, hard and rarely painful, but they have no tendency to suppurate like the enlarged glands of chancroid.
Such a picking to pieces of the tangle is simply the method of scientific thought, and in this case, at least, has the advantage of making it possible to begin to do something, rather than saw the air with vain discussion. The three so-called venereal diseases are syphilis, gonorrhea, and chancroid or soft ulcer. Gonorrhea is the commonest of the three, and is an exceedingly prevalent disease.
It is a contagious disease of purely local type, usually acquired during the sexual act, the infection taking place through a break in the continuity of the mucous membrane. Chancroid may be single, though most often is multiple.
These sexual diseases are contagious that is, transmitted by contact. They are all germ diseases; one of them is practically local, one is capable of spreading the infection to contiguous organs and one is systemic. a. =Chancroid or Soft Chancre.= This is the least dangerous of the venereal diseases.
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