{"id":12371,"date":"2025-07-23T10:37:26","date_gmt":"2025-07-23T14:37:26","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/chancre\/"},"modified":"2026-03-22T06:32:17","modified_gmt":"2026-03-22T10:32:17","slug":"chancre","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/ko\/glossary-term\/chancre\/","title":{"rendered":"\uacbd\uc131 \ud558\uac10"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[126],"glossary-product":[],"class_list":["post-12371","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-urological-conditions"],"acf":{"gt-definition":"

\ud558\uac10(\uacbd\uc131\ud558\uac10)\uc740 \ub9e4\ub3c5\uc758 \uc6d0\uc778\uade0\uc778 Treponema pallidum<\/i> \uc544\uc885 pallidum<\/i>\uc774 \uce68\uc785\ud55c \ubd80\uc704\uc5d0 \ud615\uc131\ub418\ub294 \ud1b5\uc99d\uc774 \uc5c6\uace0 \ub2e8\ub2e8\ud558\uba70 \ub465\uadfc \uada4\uc591\uc73c\ub85c, 1\uae30 \ub9e4\ub3c5\uc758 \uc6d0\ubc1c\uc131 \ubcd1\ubcc0\uc774\uc790 \ucd5c\ucd08\uc758 \uc784\uc0c1 \uc99d\uc0c1\uc744 \ub098\ud0c0\ub0c5\ub2c8\ub2e4.1<\/sup> \ud558\uac10\uc740 \uc77c\ubc18\uc801\uc73c\ub85c \uac10\uc5fc\uc131 \uc720\uae30\uccb4\uc5d0 \ub178\ucd9c\ub41c \ud6c4 \uc57d 21\uc77c(\ubc94\uc704 10~90\uc77c)\uc758 \uc7a0\ubcf5\uae30\ub97c \uac70\uccd0 \ub098\ud0c0\ub0a9\ub2c8\ub2e4.2<\/sup><\/p>\n

\ucd08\uae30\uc5d0 \uad6c\uc9c4\uc73c\ub85c \uc2dc\uc791\ub418\uc5b4 \ube60\ub974\uac8c \uce68\uc2dd\ub418\uba70, \uc9c1\uacbd \uc57d 1~2cm\uc758 \uc735\uae30\ub41c \uacbd\uacc4\uac00 \uc788\ub294 \uae68\ub057\ud55c \uae30\ubc18\uc758 \uc0bc\ucd9c\uc131 \uada4\uc591\uc744 \ud615\uc131\ud569\ub2c8\ub2e4.3<\/sup> \ubcd1\ubcc0\uc5d0\ub294 \uc218\ub9ce\uc740 \uc2a4\ud53c\ub85c\ud5e4\ud0c0\uac00 \ud3ec\ud568\ub418\uc5b4 \uc788\uc5b4 \uc804\uc5fc\uc131\uc774 \ub9e4\uc6b0 \ub192\uc73c\uba70, \ud658\uc790\uc758 \uc57d 80%\uc5d0\uc11c \uad6d\uc18c \ub9bc\ud504\uc808\ubcd1\uc99d(\ub2e8\ub2e8\ud558\uace0 \uace0\ubb34 \uac19\uc73c\uba70 \ud1b5\uc99d\uc774 \uc5c6\ub294 \ub9bc\ud504\uc808 \uc885\ub300)\uc744 \ub3d9\ubc18\ud569\ub2c8\ub2e4.4,5<\/sup> \ud558\uac10\uc740 \ub300\ubd80\ubd84 \ub2e8\uc77c \ubcd1\ubcc0\uc73c\ub85c \ub098\ud0c0\ub098\uc9c0\ub9cc, HIV \ub3d9\uc2dc\uac10\uc5fc \ud658\uc790\uc5d0\uc11c\ub294 \ub2e4\ubc1c\uc131 \ubcd1\ubcc0\uc774 \uad00\ucc30\ub420 \uc218 \uc788\uc2b5\ub2c8\ub2e4.2<\/sup><\/p>\n

\uce58\ub8cc\ud558\uc9c0 \uc54a\uc73c\uba74 \ud558\uac10\uc740 3~6\uc8fc \ub0b4\uc5d0 \uc800\uc808\ub85c \uce58\uc720\ub418\uc5b4 \ud749\ud130\uac00 \ucd5c\uc18c\ud654\ub418\uac70\ub098 \uc804\ud600 \ub0a8\uc9c0 \uc54a\uc9c0\ub9cc, T. pallidum<\/i>\uc774 \ud608\ud589\uc131\uc73c\ub85c \uc804\uc2e0\uc5d0 \ud30c\uae09\ub418\uba74\uc11c 2\uae30 \ub9e4\ub3c5\uc73c\ub85c \uc9c4\ud589\ud569\ub2c8\ub2e4.5<\/sup> 2024\ub144 EAU \uc131\ub9e4\uac1c\uac10\uc5fc \uac00\uc774\ub4dc\ub77c\uc778\uc5d0\uc11c\ub294 \uc0dd\uc2dd\uae30 \uada4\uc591 \ud658\uc790\uc758 \uac10\ubcc4\uc9c4\ub2e8\uc5d0\uc11c 1\uae30 \ub9e4\ub3c5 \ud558\uac10\uc744 \ubc18\ub4dc\uc2dc \uace0\ub824\ud560 \uac83\uc744 \uad8c\uace0\ud569\ub2c8\ub2e4.6<\/sup><\/p>","gt-synonyms":"\uc6d0\ubc1c\uc131 \ub9e4\ub3c5 \uada4\uc591, \uacbd\uc131 \ud558\uac10, \ud5cc\ud130\ud615 \ud558\uac10, \ub9e4\ub3c5 \uc6d0\ubc1c\uc131 \ubcd1\ubcc0, \uc6d0\ubc1c\uc131 \ub9e4\ub3c5","gt-citation":"[1] Singh AE, Romanowski B. Syphilis: Review with Emphasis on Clinical, Epidemiologic, and Some Biologic Features. Clin Microbiol Rev. 1999;12(2):187-209. DOI: 10.1128\/cmr.12.2.187\n\n[2] Tiecco G, Degli Antoni M, Storti S, et al. A 2021 Update on Syphilis: Taking Stock from Pathogenesis to Vaccines. Microorganisms. 2021;9(11):2324. DOI: 10.3390\/microorganisms9112324\n\n[3] Read PJ, Donovan B. Clinical aspects of adult syphilis. Intern Med J. 2012;42(6):614-620. DOI: 10.1111\/j.1445-5994.2012.02814.x\n\n[4] Peeling RW, Mabey D, Kamb ML, et al. Syphilis. Nat Rev Dis Primers. 2017;3:17073. DOI: 10.1038\/nrdp.2017.73\n\n[5] Hook EW 3rd. Syphilis. Lancet. 2017;389(10078):1550-1557. DOI: 10.1016\/S0140-6736(16)32411-4\n\n[6] Bonkat G, Bartoletti R, Bruy\u00e8re F, et al. EAU Guidelines on Urological Infections. European Association of Urology; 2024. https:\/\/uroweb.org\/guidelines\/urological-infections\n\n[7] Kimball A, Torrone E, Miele K, et al. Clinical Updates in Sexually Transmitted Infections, 2024. MMWR Morb Mortal Wkly Rep. 2024;73(1):1-10. DOI: 10.15585\/mmwr.mm7301a1","gt-clinical-context":"

\ud558\uac10\uc740 \uc2a4\ud53c\ub85c\ud5e4\ud0c0 \uc138\uade0 Treponema pallidum<\/i>\uc5d0 \uc758\ud574 \ubc1c\uc0dd\ud558\ub294 \uc131\ub9e4\uac1c\uac10\uc5fc\uc778 1\uae30 \ub9e4\ub3c5\uc758 \ucd08\uae30 \uc9d5\ud6c4\ub97c \ub098\ud0c0\ub0b4\ubbc0\ub85c \uc784\uc0c1\uc801\uc73c\ub85c \ub9e4\uc6b0 \uc911\uc694\ud569\ub2c8\ub2e4.1<\/sup> \ubcd1\ubcc0\uc740 \uc77c\ubc18\uc801\uc73c\ub85c \uc811\uc885 \ubd80\uc704\uc5d0 \ub098\ud0c0\ub098\uba70 \uac00\uc7a5 \ud754\ud558\uac8c\ub294 \uc0dd\uc2dd\uae30\uc5d0 \ubc1c\uc0dd\ud558\uc9c0\ub9cc, \uad6c\uc21c, \ud600, \uc778\ub450, \uc9c1\uc7a5 \ub610\ub294 \uae30\ud0c0 \uc131\uc811\ucd09 \ubd80\uc704\uc5d0\uc11c\ub3c4 \uad00\ucc30\ub420 \uc218 \uc788\uc2b5\ub2c8\ub2e4.2<\/sup> \uc5ec\uc131\uc758 \uacbd\uc6b0 \ud558\uac10\uc774 \uc790\uad81\uacbd\ubd80 \ub610\ub294 \uc9c8 \ub0b4\ubd80\uc5d0 \ubc1c\uc0dd\ud560 \uc218 \uc788\uc73c\uba70, \ud1b5\uc99d\uc774 \uc5c6\uace0 \ub0b4\ubd80 \uc704\uce58 \ub54c\ubb38\uc5d0 \uc9c4\ub2e8\uc774 \uc9c0\uc5f0\ub418\ub294 \uacbd\uc6b0\uac00 \ub9ce\uc2b5\ub2c8\ub2e4.3<\/sup><\/p>\n\n

\uc5ed\ud559\uc801 \uc911\uc694\uc131<\/h3>\n

\uc804 \uc138\uacc4\uc801\uc73c\ub85c \ub9e4\ub3c5 \ubc1c\uc0dd\ub960\uc740 \uc9c0\uc18d\uc801\uc73c\ub85c \uc99d\uac00\ud558\uace0 \uc788\uc73c\uba70, \ubbf8\uad6d\uc5d0\uc11c\ub294 \uc9c0\ub09c 10\ub144\uac04 \uac00\uc784\uae30 \uc5ec\uc131\uc758 1\uae30\u00b72\uae30 \ub9e4\ub3c5 \ubc1c\uc0dd\ub960\uc774 8\ubc30 \uc774\uc0c1 \uc99d\uac00\ud588\uc2b5\ub2c8\ub2e4(\uc778\uad6c 10\ub9cc \uba85\ub2f9 2.1\uc5d0\uc11c 19.1).7<\/sup> \uc774\uc5d0 \ub530\ub77c \uc870\uae30 \uc9c4\ub2e8\uc758 \uc784\uc0c1\uc801 \uc911\uc694\uc131\uc774 \ub354\uc6b1 \ubd80\uac01\ub418\uace0 \uc788\uc2b5\ub2c8\ub2e4. \ud558\uac10\uc758 \uc874\uc7ac\ub294 \ubcd1\ubcc0\uacfc\uc758 \uc9c1\uc811\uc801\uc778 \uc811\ucd09\uc744 \ud1b5\ud574 \uc27d\uac8c \uc804\ud30c\ub420 \uc218 \uc788\ub294 \ud65c\ub3d9\uc131\u00b7\uc804\uc5fc\uc131\uc774 \ub192\uc740 \ub9e4\ub3c5\uc744 \ub098\ud0c0\ub0c5\ub2c8\ub2e4.4<\/sup><\/p>\n\n

\uc9c4\ub2e8 \uc811\uadfc<\/h3>\n

\uc9c4\ub2e8\uc740 \uc784\uc0c1\uc801 \uc758\uc2ec\uacfc \ud568\uaed8 \ub2e4\uc74c\uacfc \uac19\uc740 \uac80\uc0ac\ub97c \ud1b5\ud574 \ud655\uc778\ub429\ub2c8\ub2e4:1,4<\/sup><\/p>\n

    \n
  • \uc554\uc2dc\uc57c \ud604\ubbf8\uacbd \uac80\uc0ac<\/strong>: \ubcd1\ubcc0 \uc0bc\ucd9c\ubb3c\uc5d0\uc11c \ud2b9\uc9d5\uc801\uc778 \ucf54\ub974\ud06c \ub9c8\uac1c \ubaa8\uc591\uc758 \uc6b4\ub3d9\uc131\uc744 \ubcf4\uc774\ub294 \uc2a4\ud53c\ub85c\ud5e4\ud0c0\ub97c \uc9c1\uc811 \uad00\ucc30<\/li>\n
  • \ud608\uccad\ud559\uc801 \uac80\uc0ac<\/strong>: \ube44\ud2b8\ub808\ud3ec\ub124\ub9c8 \uac80\uc0ac(RPR, VDRL)\ub85c \uc120\ubcc4 \ud6c4 \ud2b8\ub808\ud3ec\ub124\ub9c8 \uac80\uc0ac(FTA-ABS, TP-PA)\ub85c \ud655\uc778\ud558\ub294 2\ub2e8\uacc4 \uc54c\uace0\ub9ac\uc998<\/li>\n
  • PCR \uac80\uc0ac<\/strong>: \uada4\uc591 \uac80\uccb4\uc5d0\uc11c T. pallidum<\/i> DNA \uac80\ucd9c<\/li>\n<\/ul>\n

    \ud558\uac10\uc774 \uc9c4\ud589\ub418\ub294 \ucd08\uae30\uc5d0\ub294 \ud608\uccad\ud559\uc801 \uac80\uc0ac\uac00 \uc74c\uc131\uc77c \uc218 \uc788\uc73c\ubbc0\ub85c(window period), \uc784\uc0c1\uc801 \uc758\uc2ec\uc774 \ub192\uc744 \uacbd\uc6b0 2~4\uc8fc \ud6c4 \ubc18\ubcf5 \uac80\uc0ac\uac00 \ud544\uc694\ud569\ub2c8\ub2e4.4<\/sup><\/p>\n\n

    \uce58\ub8cc<\/h3>\n

    1\uae30 \ub9e4\ub3c5\uc758 \ud45c\uc900 \uce58\ub8cc\ub294 \ubca4\uc790\ud2f4 \ud398\ub2c8\uc2e4\ub9b0 G 240\ub9cc \ub2e8\uc704\ub97c \ub2e8\ud68c \uadfc\uc721\ub0b4 \uc8fc\uc0ac\ud558\ub294 \uac83\uc785\ub2c8\ub2e4.2,6<\/sup> \uc774\ub294 CDC, WHO, EAU \uac00\uc774\ub4dc\ub77c\uc778 \ubaa8\ub450\uc5d0\uc11c \uc77c\uad00\ub418\uac8c \uad8c\uace0\ud558\ub294 1\ucc28 \uce58\ub8cc\uc785\ub2c8\ub2e4. \ud398\ub2c8\uc2e4\ub9b0 \uc54c\ub808\ub974\uae30 \ud658\uc790\uc758 \uacbd\uc6b0 \ub3c5\uc2dc\uc0ac\uc774\ud074\ub9b0 100mg\uc744 1\uc77c 2\ud68c, 14\uc77c\uac04 \uacbd\uad6c \ud22c\uc5ec\ud558\uac70\ub098, \uc138\ud504\ud2b8\ub9ac\uc545\uc190 1g\uc744 10~14\uc77c\uac04 \uadfc\uc721\ub0b4 \ud22c\uc5ec\ud558\ub294 \ub300\uc548 \uc694\ubc95\uc774 \uc788\uc2b5\ub2c8\ub2e4.5,6<\/sup> \uc784\uc2e0 \uc911 \ud398\ub2c8\uc2e4\ub9b0 \uc54c\ub808\ub974\uae30\uac00 \uc788\ub294 \ud658\uc790\uc5d0\uc11c\ub294 \ubc18\ub4dc\uc2dc \ud0c8\uac10\uc791 \ud6c4 \ud398\ub2c8\uc2e4\ub9b0 \uce58\ub8cc\ub97c \uc2dc\ud589\ud574\uc57c \ud569\ub2c8\ub2e4.7<\/sup><\/p>\n\n

    \uac10\ubcc4\uc9c4\ub2e8 \ubc0f \ucd94\uc801\uad00\ucc30<\/h3>\n

    \uc0dd\uc2dd\uae30 \uada4\uc591\uc758 \uac10\ubcc4\uc9c4\ub2e8\uc5d0\ub294 \uc131\uae30 \ub2e8\uc21c\ud3ec\uc9c4(HSV), \uc5f0\uc131\ud558\uac10(Haemophilus ducreyi<\/i>), \uc11c\ud61c\ubd80 \uc721\uc544\uc885(\ub3c4\ub178\ubc18\uc99d), \uc678\uc0c1\uc131 \uada4\uc591 \ub4f1\uc774 \ud3ec\ud568\ub429\ub2c8\ub2e4.3<\/sup> \uce58\ub8cc \ud6c4 \ube44\ud2b8\ub808\ud3ec\ub124\ub9c8 \uac80\uc0ac \uc5ed\uac00\ub97c 6~12\uac1c\uc6d4 \uac04\uaca9\uc73c\ub85c \ucd94\uc801\ud558\uc5ec 4\ubc30 \uc774\uc0c1\uc758 \uc5ed\uac00 \uac10\uc18c\ub97c \ud655\uc778\ud574\uc57c \ud558\uba70, \uc5ed\uac00 \ubc18\uc751\uc774 \ubd88\ucda9\ubd84\ud55c \uacbd\uc6b0 \uc7ac\uac10\uc5fc \ub610\ub294 \uce58\ub8cc \uc2e4\ud328\ub97c \uc758\uc2ec\ud569\ub2c8\ub2e4.4<\/sup><\/p>\n\n

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