| 发生在早期梅毒的脑部树胶肿一例 |
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| 引用本文： | 李爱莉,孙培宏,冯莉,孙杰. 发生在早期梅毒的脑部树胶肿一例[J]. 中国麻风皮肤病杂志, 2022, 38(9): 638-639. DOI: 10.12144/zgmfskin202209638 |
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| 作者姓名： | 李爱莉 孙培宏 冯莉 孙杰 |
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| 作者单位： | 大连市皮肤病医院，辽宁大连，116000 |
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| 基金项目： | 大连市医学科学研究计划项目(编号:2022010) |
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| 摘 要： | 患者，女，50岁。梅毒病史17个月，阵发性头疼4个月。17个月前患者确诊“一期梅毒”,正规治疗并定期复查，快速血浆反应素试验(RPR)滴度下降4倍，皮疹消退。10个月前躯干、四肢出现鳞屑性红斑，掌跖部亦有类似皮疹，RPR滴度上升，梅毒复发，再次治疗后皮疹消退。4个月前出现阵发性头疼，后于外院神经外科住院，查头部核磁共振成像为右侧肿块，考虑为转移性肿瘤。给予手术治疗，术后组织病理为梅毒树胶肿，头痛症状消失，遂于我院性病科进行梅毒治疗及随访。
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| 关 键 词： | 早期梅毒 树胶肿 |
Cerebral gelatoma in early syphilis: a case report |
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| LI Aili,SUN Peihong,FENG Li,SUN Jie. Cerebral gelatoma in early syphilis: a case report[J]. China Journal of Leprosy and Skin Diseases, 2022, 38(9): 638-639. DOI: 10.12144/zgmfskin202209638 |
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| Authors: | LI Aili SUN Peihong FENG Li SUN Jie |
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| Affiliation: | Dalian Dermatology Hospital, Dalian 116021, China |
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| Abstract: | The 50-year-old female patient had a history of syphilis for 17 months and paroxysmal headaches for 4 months. Seventeen months ago, the patient was diagnosed as primary syphilis, and received regular treatment and regular visit. The RPR titer decreased by 4 times and the rash subsided for 6-month treatment. Ten months ago, syphilis recurred, and given the regular treatment, the rash subsided after treatment again. Four months ago, he occurred paroxysmal headache, and MRI showed a mass on the right side of head, which was considered as a metastatic tumor. The patient was treated with surgery and the histological examination showed syphilitic gumma. Headache disappeared then the patient was given antisyphilitic treatment. |
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| Keywords: | early syphilis gumma |
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