梅毒125例临床分析

目的 了解梅毒多变的临床特点,进一步认识该疾病.方法 对125例梅毒患者的临床资料进行分析.结果 梅毒硬下疳可多发,少数可以留疤,除生殖器外还可以发生在乳房.病例中一患者因乳房赘生物并逐渐破溃而就诊,临床拟诊寻常疣、湿疹、帕哲特病待排,病理诊断为亚急性炎症,然患者血清学检查显示RPR1:64( )及TPPA阳性.二期梅毒疹可表现为银屑病样疹、环形红斑、脓疱、扁平湿疣等,其发疹部位可在躯干、掌跖部,也可在头面部.皮疹可与硬下疳重叠出现(13.2%).结论 梅毒临床表现多样化,因此须多加注意.

Clinical Analysis of 125 Cases of Syphilis

Objective To study the diversity of clinical features of syphilis and to further recognize the disease. Methods Clinical data of 125 cases of syphilis were retrospectively analyzed. Results Chancre varied in number and position, rarely resolved with scar formation. A rare case was included in this paper, which presented with a ulcus durum on breast and was misdiagnosed as verruca vulgaris, eczema or paget's disease before the diagnosis of secondary syphilis. Other commonly seen manifestations included roseolas, psoriasiform, erythema annulare, pustule, flat condyloma and so on. These lesions commonly occurred on the trunk, palm and sole, rarely on the head and face. Co-exist of secondary syphilid and chancre were found in 13.2% patients. Conclusion Variety of syphilis lesions need to be further emphasized.