Donald Trump’s health has long been under scrutiny, and a recent Instagram post by a physical therapist, @epistemiccrisis, who holds a doctorate and has 14 years of experience treating dementia patients, has stirred fresh speculation. The doctor discussed how tertiary stage syphilis, also known as neurosyphilis, can closely mimic the symptoms of behavioural variant frontotemporal dementia.What Is Tertiary Stage Syphilis?Tertiary syphilis is the late stage of a syphilis infection, and it is relatively uncommon, usually appearing years or even decades after the initial infection. Its manifestations can vary, but the most common forms include cardiovascular syphilis, central nervous system involvement—classically presenting as tabes dorsalis or general paresis—and gummatous syphilis, which most often affects the liver. In the United States, syphilis is considered a reportable illness, meaning cases must be reported to public health authorities.Tertiary Stage Syphilis And The BrainTertiary stage syphilis occurs when the infection remains untreated for years, potentially causing serious neurological complications. Before antibiotics were widely available, neurosyphilis accounted for roughly 15% of psychiatric inpatients, as per the doctor. The disease can damage the frontal and temporal lobes, producing behavioural changes strikingly similar to dementia.Case Study Explains The Symptom OverlapThe doctor referenced a PubMed case study of a 47-year-old male whose behaviour drastically changed, leading to psychiatric admission. The patient showed extreme disorientation and poor hygiene, including rubbing his own faeces in his hair. After receiving antibiotics, his symptoms resolved, and brain scans later revealed improved blood flow to the frontal lobe.Could Donald Trump Have Tertiary Stage Syphilis?Red marks on Trump’s hands have sparked discussion about possible tertiary stage syphilis. However, the doctor noted that untreated syphilis in someone of Trump’s age would generally produce more severe complications, making the likelihood low. Additional health factors, including possible history of stroke, heart issues, and kidney disease, further complicate speculation.Are Frontotemporal Dementia and Tertiary Syphilis Related?Donald Trump has been speculated to show signs of frontotemporal dementia, a condition affecting behavior, personality, and decision-making. Interestingly, tertiary stage syphilis, specifically neurosyphilis, can cause similar symptoms by damaging the frontal and temporal lobes. Both conditions may lead to changes in social behavior, judgment, and cognitive function, making it challenging to differentiate without proper medical evaluation. Unlike frontotemporal dementia, which is progressive and currently incurable, tertiary syphilis is treatable with antibiotics, underscoring the need for accurate diagnosis.Is Tertiary Stage Syphilis Treatable?Neurosyphilis is treatable with antibiotics, and early detection is critical. The case study highlights how the condition can mimic dementia, emphasizing the need for careful evaluation—even for high-profile figures like Donald Trump.Disclaimer: The claims discussed in this article are being made by the Instagram user @epistemiccrisis. Health & Me does not verify or endorse these claims, and this content is intended for informational purposes only, not as a medical diagnosis or advice.