[1]王军雄,陈倩倩,李水凤,等.以阴囊斑丘疹为主要表现的二期梅毒并HIV感染1例[J].中国皮肤性病学杂志,2016,(11):1152-1152,1158.[doi:10.13735/j.cjdv.1001-7089.201604119]
 WANG Jun-xiong,CHEN Qian-qian,LI Shui-feng,et al.A Case of Secondary Syphilis Merger HIV Infection Mainly Performed as Maculopapule on the Scrotum[J].The Chinese Journal of Dermatovenereology,2016,(11):1152-1152,1158.[doi:10.13735/j.cjdv.1001-7089.201604119]
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以阴囊斑丘疹为主要表现的二期梅毒并HIV感染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11期
页码:
1152-1152,1158
栏目:
性传播疾病
出版日期:
2016-11-01

文章信息/Info

Title:
A Case of Secondary Syphilis Merger HIV Infection Mainly Performed as Maculopapule on the Scrotum
作者:
王军雄陈倩倩李水凤卢斯汉
广州市第八人民医院,广东 广州 510440
Author(s):
WANG Jun-xiongCHEN Qian-qianLI Shui-fengLU Si-han
Department of Dermatovenereology,Guangzhou the Eighth People's Hospital, Guangzhou 510440, China
关键词:
阴囊 斑丘疹 二期梅毒 人类免疫缺陷病毒
Keywords:
Scrotum maculopapule Secondary Syphilis Human immunodeficiency virus
分类号:
R 759.1; R 512.91
DOI:
10.13735/j.cjdv.1001-7089.201604119
文献标志码:
B
摘要:
患者男,32岁。阴囊肥厚性斑丘疹伴瘙痒3个月。阴囊密集分布灰褐色肥厚性斑丘疹,呈椭圆形或多角形,直径0.3~1.0cm,灰褐色,上覆皮屑,界清,表面干燥,质硬。双侧腹股沟及大腿内侧见白斑和皮屑。阴茎根部近系带旁糜烂和渗液。有不洁性行为史,渗出液在暗视野显微镜下可见活动梅毒螺旋体,RPR(1:32),TPPA(+),HIV确证实验(+),CD4+/ CD8+:0.43。诊断:二期梅毒; HIV感染。予苄星青霉素治疗后斑丘疹已消退。
Abstract:
A-32-year-old male presented with a three-month history of hypertrophic maculopapule on the scrotum with itching.Physical examination: Hypertrophic maculopapules intensive distributed on the scrotum, appearance is oval or polygon, the size of the diameter is about 0.3 cm to 1 cm, its color is gray brown, scales attached on the surface of the maculopapules, the boundary is clear,the surface is dry, with low hardness. There are white spots on the two sides of the groin and inner thigh, a small amount of scales. Erosion and exudation at the root of the penis. The unclean sexual contact history was found before the onset, treponema pallidum was detected in exudate from the lesions by dark field microscopy.Rapid plasma reagin test(RPR):positive(1:32),Treponema pallidum passive particle agglutinationtest(TPPA): positive,HIV diagnosis experiment: positive,CD4 + /CD8 +:0.43.Diagnosis:Secondary syphilis; HIV infection. Maculopapule disappeared after bicillin treatment.

参考文献/References:

[1] 赵辨.中国临床皮肤病学[M].南京:江苏科学技术出版社,2009:1788-1790.
[2] 周平玉,顾志英,钱伊弘,等.早期梅毒皮损形成机制的研究[J].中华皮肤科杂志,2006,39( 5): 254-256.
[3] 孙伟,黄舒燕,吴昊.梅毒合并艾滋病的临床表现及治疗与预防[J].中国艾滋病性病,2010,16(5):532-535.
[4] 高广程,王增芳,陈雪.以环形疹为主要表现的二期梅毒误诊1例[J].中国皮肤性病学杂志,2011,25(12):997-998.
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备注/Memo

备注/Memo:
[通讯作者] 卢斯汉,E-mail:lusihan66@163.com
更新日期/Last Update: 2016-11-01