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In page Syphilitic aortitis:

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The infection often has no symptoms until the patient develops an aneurysm because of the aortic dilatation. The disease is often discovered after a routine checkup of the heart and aorta. Although easily overlooked, other symptoms of tertiary syphilis might appear such as gummas and symptoms of neurosyphilis (headache, stiff neck, gait abnormality, dementia etc.). Additionally, in rare cases, chest pain and shortness of breath might appear as a result of the damage of the aorta and heart valve.[citation needed]