[1]曾磊,姚磊,付黎影,等.类似银屑病样皮损的二期梅毒 1 例[J].中国皮肤性病学杂志,2016,(06):596-597.[doi:10.13735/j.cjdv.1001-7089.201501126]
 ZENG Lei,YAO Lei,FU Li-ying,et al.A Case of Secondary Syphilis Mimicking Psoriasis[J].The Chinese Journal of Dermatovenereology,2016,(06):596-597.[doi:10.13735/j.cjdv.1001-7089.201501126]
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类似银屑病样皮损的二期梅毒 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:
2016年06期
页码:
596-597
栏目:
性传播疾病
出版日期:
2016-06-01

文章信息/Info

Title:
A Case of Secondary Syphilis Mimicking Psoriasis
作者:
曾磊姚磊付黎影林达李卉杜文辉裘越王培光
安徽医科大学第一附属医院皮肤性病科,安徽 合肥 230022
Author(s):
ZENG Lei YAO Lei FU Li-ying LIN Da LI Hui DU Wen-hui QIU Yue WANG Pei-guang
Department of Dematology, the First Affiliated Hospital of Anhui Medical University, Hefei 230022, China
关键词:
二期梅毒 银屑病
Keywords:
Secondary syphilis Psoriasis
分类号:
R 759.1
DOI:
10.13735/j.cjdv.1001-7089.201501126
文献标志码:
B
摘要:
患者女,43岁。上腹部红色皮损伴发轻度瘙痒4月余。查体:上腹泛发红色斑疹、斑片、斑丘疹及丘疹,部分皮损呈拱形或半环形排列。血TRUST 1:16(+),TPPA(+)。皮损组织病理示:真皮大量淋巴细胞浸润,散在浆细胞和组织细胞浸润,部分淋巴细胞异型性改变, 表皮少数淋巴细胞浸润。诊断为二期梅毒。苄星青霉素治疗后皮损显著好转。
Abstract:
A 43-year-old female presented with red rashes on abdomen with mild itching for more than 4 months. Physical examination showed generalized erythematous macules, patches, maculopapules and papules on her upper abdomen, part of lesions were arranged in arched or semi-circular pattern. Serological test revealed both TRUST(1:16 )and TPPA were positive. Histopathological examination showed a large number of lymphocytes infiltrate with scattered plasma cells and histiocytes in the dermis. Some lymphocytes displayed atypia. In addition, a few lymphocytes infiltrate were observed in the epidermis. Therefore, the diagnosis of secondary syphilis was established. The skin lesions were remarkably improved after treated with intramuscular injection of benzathine with three times.

参考文献/References:

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备注/Memo

备注/Memo:
[通讯作者] 王培光,E-mail:wpg2370@163.com
更新日期/Last Update: 2016-06-30