[1]樊倩雯,陈龙.老年二期梅毒误诊1例[J].中国皮肤性病学杂志,2019,(06):724-725.[doi:10.13735/j.cjdv.1001-7089.201801146]
 FAN Qianwen,CHEN Long.A Misdiagnosed Case of an Aged Patient with Secondary Syphilis[J].The Chinese Journal of Dermatovenereology,2019,(06):724-725.[doi:10.13735/j.cjdv.1001-7089.201801146]
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老年二期梅毒误诊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:
2019年06期
页码:
724-725
栏目:
误诊教训
出版日期:
2019-05-16

文章信息/Info

Title:
A Misdiagnosed Case of an Aged Patient with Secondary Syphilis
文章编号:
1001-7089(2019)06-0724-02
作者:
樊倩雯1陈龙2
1.湖北中医药大学,湖北 武汉430060; 2.武汉市第一医院皮肤科,湖北 武汉 430022
Author(s):
FAN Qianwen1CHEN Long2
(1.Hubei University of Chinese Medicine,Wuhan 430060,China; 2.Department of Dematology,First Hosipital of Wuhan,Wuhan 430022,China)
关键词:
二期梅毒 老年 误诊
Keywords:
Secondary syphilis Aged Misdiagnosed
分类号:
R 759.1
DOI:
10.13735/j.cjdv.1001-7089.201801146
文献标志码:
B
摘要:
患者男,87岁。头皮、躯干、四肢出现皮疹伴瘙痒2个月余。曾被误诊为银屑病、扁平苔藓,予抗组胺及激素治疗无效。RPR 1:32(+),TPPA 1:1 280(+)。诊断:二期梅毒。予苄星青霉素240万U分两侧臀部肌注,每周1次,连续3次,皮疹逐渐消退。现患者仍在随访中。
Abstract:
An 87-year-old male presented with itchy rashes on the scalp,trunk and limbs for over two months.He had been misdiagnosed as psoriasis and lichen planus at community hospital and was treated with antihistamines and glucocorticoid without any improvement.RPR was 1:32,TPPA was 1:1 280.The diagnosis was made as secondary syphilis.As 2.4 million units of benzathine penicillin were given to both sides of buttock by intramuscular injection once a week for three weeks of treatment,his skin lesions disappeared gradually.The patient was under the regular follow-up.

参考文献/References:


[1] 王红枫,方芳.老年梅毒155例临床分析[J].中国皮肤性病学杂志,2015,29(1):59.
[2] 金宛宛,邵文俊,李琼英,等.老年梅毒感染的临床特点以及预后分析[J].中国地方病防治杂志,2014,29(5):384.

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备注/Memo

备注/Memo:
[作者单位] 1.湖北中医药大学,湖北 武汉430060; 2.武汉市第一医院皮肤科,湖北 武汉 430022
[通讯作者] 陈龙,E-mail:447317516@qq.com
更新日期/Last Update: 2019-05-16