[1]邓艳艳*,汪宇,陆洪光,等.蛎壳状二期梅毒疹误诊1例[J].中国皮肤性病学杂志,2014,(01):90-91.
 DENG Yan-yan*,WANG Yu,LU Hong-guang,et al.A Case of Misdiagnosed Rupial Syphilid[J].The Chinese Journal of Dermatovenereology,2014,(01):90-91.
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蛎壳状二期梅毒疹误诊1例
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《中国皮肤性病学杂志》[ISSN:1001-7089/CN:61-1197/R]

卷:
期数:
2014年01期
页码:
90-91
栏目:
误诊教训
出版日期:
2014-01-20

文章信息/Info

Title:
A Case of Misdiagnosed Rupial Syphilid
作者:
邓艳艳*汪宇陆洪光魏羽佳蒋燕萍符燕华余群英
贵阳医学院附属医院皮肤科,贵州 贵阳 550004; *现在长治市第二人民医院皮肤科,山西 长治 046000
Author(s):
DENG Yan-yan* WANG Yu LU Hong-guang WEI Yu-jia JIANG Yan-ping FU Yan-hua YU Qun-ying
(Department of Dermatology and Venereology, Guiyang Medical Colledge, Guiyang 550004, China; * Department of Dermatology, the Second People's Hospital of Shanxi Changzhi, Changzhi 046000, China)
关键词:
二期梅毒蛎壳状 误诊
Keywords:
Secondary syphilis rupia Misdiagnosis
分类号:
R 759.1
文献标志码:
B
摘要:
患者女,35岁。躯干、四肢皮疹2个月,偶伴瘙痒。无银屑病家族史,曾被误诊为“银屑病”,治疗无效。胸背部真菌镜检(-),Auspitz征(-)。RPR 1:128(+),TPPA 1:640(+)。诊断:二期梅毒。苄星青霉素治疗3个月,电话随访,患者全身皮疹部分消退,现仍在随访中。
Abstract:
A 35-year-old female presented with rashes on the trunk and limbs for two months.She had no family history of psoriasis and had been diagnosed as psoriasis at local hospital, and was treated with many drugs without any improvement.The Auspitz sign was negative.Direct microscopy showed no fungus on skin lesions on the chest and back.RPR was 1:128 and TPPA was 1:640.The diagnosis was made as secondary syphilis.The patient was treated with benzathine penicillin for 3 months.Telephone follow-up revealed that some skin lesions disappeared.Patient is still in follow-up.

参考文献/References:


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[2] 徐德华,王萍.蛎壳状银屑病样二期梅毒疹1例[J].临床皮肤科杂志,2004,33(2):108. 图1 左耳前发际边缘皮损; 图2 右颈部皮损; 右颈部皮损(中箭头所示皮损); 图3 胸腹部皮损; 右腹部皮损(中左箭头所示); 左腹部皮损(中右箭头所示); 图4 背部皮损; 背部皮损(中箭头所示); 图5 左腋下皮损; 图6 外阴大阴唇皮损; 图7 双足底皮损; 右足底皮损 Fig.1 Skin lesions on the left ear around the edge of front hairline; Fig.2 and skin lesions on the right neck; Fig.3 Skin lesions on chest and abdomen; Lesions on the right abdomen; Lesions on the left abdomen; Fig.4 and skin lesions on the back; Fig.5 Skin lesions on the left armpit; Fig.6 Skin lesions on genitals labia majora; Fig.7 and skin lesions on the foot
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备注/Memo

备注/Memo:
[作者单位] 贵阳医学院附属医院皮肤科,贵州 贵阳 550004; *现在长治市第二人民医院皮肤科,山西 长治 046000 [通讯作者] 魏羽佳,E-mail:362971672@qq.com
更新日期/Last Update: 2014-01-20