口腔梅毒疹8例

报告8例口腔二期梅毒疹患者。主要表现为口腔粘膜及舌部红斑、糜烂、白斑和咽部充血。实验室检查8例患者RPR、TPHA均为阳性。普鲁卡因青霉素、红霉素或阿奇霉素治疗第3、6、9、12个月时复查 ,两项指标均逐渐下降。2例转为阴性。4例普鲁卡因青霉素治疗1个月内皮疹消退 ,4例红霉素或阿奇霉素治疗2个月内皮疹消退。     

口腔梅毒疹六例

例1男,47岁。因声音嘶哑伴咽喉部新生物1月余,在外院疑为咽喉部恶性肿瘤,转来我院就诊。体检:患者一般情况好,右侧耳后、颏下淋巴结肿大,可活动,有轻度触痛,双侧咽部充血,扁桃体Ⅰ度肿大,右侧咽峡部1个0.7cm×1cm大小隆起,中央略凹陷,表面清洁,光滑,右侧舌缘1个0.5cm大小灰白色     

口腔二期梅毒疹1例

临床资料患者女,56岁。因全身鳞屑性红斑加重半年就诊。患者银屑病史10余年,全身散发点滴状红斑,近期外用治疗银屑病药物疗效欠佳。就诊过程中诉近期上腭异物感,无明显自觉症状。当地医院予以口服抗生素等治疗,效果欠佳,遂来我院就诊。     

口腔二期梅毒疹1例

临床资料 患者女,56岁.因全身鳞屑性红斑加重半年就诊.患者银屑病史10余年,全身散发点滴状红斑,近期外用治疗银屑病药物疗效欠佳.就诊过程中诉近期上腭异物感,无明显自觉症状.当地医院予以口服抗生素等治疗,效果欠佳,遂来我院就诊.     

发生于口腔部位的二期梅毒疹1例

1 临床资料 患者男，30岁。口腔溃疡半年，口角增生物2月，有痛感伴流涎来诊。半年前患者下唇黏膜出现甲盖大小白色斑片，自认为口腔溃疡，用“一可贴”治疗数日，未愈。2月前右侧颊黏膜相继出现白斑，溃破、糜烂伴局部疼痛，双侧口角相继出现增生物，缓慢扩大，表面渗出结痂，曾在当地诊为“单纯疱疹”，予淡盐水漱口，口服阿昔洛韦、罗红霉素、口腔溃疡灵等药物半月。     

以掌跖梅毒疹为主的二期显发梅毒8例

<正> 我科自1986年3月以来,共发现二期显发梅毒8例,患者情况见附表。     

二期梅毒疹1例

患者男 ,２８岁。掌跖部起红斑１个月。患者于半年前非婚性交后约１个月 ,包皮起一红斑 ,继而形成隆起的硬结 ,表面糜烂 ,不痛不痒 ,未经治疗自愈。１个月前掌跖部起红斑 ,后红斑中央颜色渐减退并出现脱屑 ,无自觉症状。检查 :系统检查未见异常。皮肤科情况 :双上肢滑车淋巴结肿大 ,约蚕豆大 ,质硬、光滑 ,可移动 ,无压痛。舌面右侧及舌尖部各有一黄豆大稍隆起乳白色斑 ,周围有红晕。掌跖部有散在分布的黄豆至蚕豆大、圆形或椭圆形、中央扁平隆起、附有角化性鳞屑、周围呈褐红色的斑丘疹（见图１）。实验室检查 :ＲＰＲ试验阳性。初步印象为…     

二期梅毒疹1例

患者男，56岁，因肛周赘生物1个月伴双侧腋窝皮疹半个月于2002年7月15日来我站门诊部就诊。患者1个月前发现肛周及会阴部出现米粒大赘生物，逐渐增多，并向四周蔓延，不痒，无不适感，半个月后两侧腋窝出现数枚2分硬币大，边缘隆起的红色斑块，近年来有多次非婚性生活史，皮肤科检查：肛周见大小不等的扁平隆起性损害，淡红色，粟粒至蚕豆大，表面覆灰白色渗出物，两侧腋窝有数枚2分硬币大环形红斑，表面湿润，境界清楚，周围呈堤状隆起，中央萎缩凹陷，脱屑及色素沉着，无破溃，无触痛。     

二期梅毒疹1例

患者男,24岁,阴囊、阴茎根部及股内侧出现暗红色丘疹,伴轻度痒痛3周,于2007年3月至我科门诊就诊。2个月前患者胸腹部出现指盖大淡红色斑疹,曾在外院按玫瑰糠疹治疗,3周前阴囊、阴茎根部及股内侧出现暗红色丘疹,伴有轻度痒痛。3个月前患者曾有过非婚性生活。     

二期梅毒疹1例

临床资料患者,女,22岁。主因肛周、外阴、腋下、颈部扁平丘疹2个月于2011年1月来我院皮肤科就诊。患者缘于2个月前肛周出现数个绿豆大小扁平丘疹,皮损渐增大、增多并扩展至外阴,无明显自觉症状。1个月前腋下出现类似皮损,起初为数个扁平丘疹,后丘疹扩大融合,中央渐愈合形成一环状皮损。同时颈部出现环形斑丘疹,少许鳞屑。患者一般情况可,     

Papular eruption in helminth infestation--a hypersensitivity phenomenon? Report of four cases

This communication reports on generalized papular eruption in Man, coinciding with infestation due to dwarf tapeworm (Hymenolepis nana), pinworm (Enterobius vermicularis) and whipworm (Trichuris trichiura). The assumed allergic-hyperergic reaction was evident from itching, blood and tissue eosinophilia, increased serum IgE and clearing up after focus of infestation therapy. Pinworm and whipworm therapy was initially accompanied by Jarisch-Herxheimer phenomenon.     

Acquired fibro-keratoma. Report of 8 cases

The acquired fibro-keratoma is a benign fibro-epithelial tumor of acquired nature. I was set apart as a distinct entity in 1968 by Bart et al. who named it "acquired digital fibro-keratoma". It is predominantly, although not exclusively, located on the fingers and toes, near the phalangeal joints. The authors report 8 personal cases and make a short general review of the disease. The lesion is slightly prominent, well defined and surrounded by a hyperkeratotic collar. It protrudes on the surface of the skin much like a hernia. Histologically, it is a dermo-epidermal tumor. There is a proliferation of connective tissue under the papillomatous, hyperacanthotic and orthokeratotic epidermis. The mature collagen bundles, voluminous fibroblasts and numerous enlarged capillaries are parallel to the vertical axis of the tumor. The acquired fibrokeratoma must be differentiated from other cutaneous tumors, particularly fibromas and Ko?nen's tumors. The etiology is unknown. However, it was found in some cases that a trauma had contributed to the development of the tumor. The only possible treatment is surgical excision.     

Localised pityriasis rosea‐like eruption during radiotherapy. Report of 2 cases

Pityriasis rosea is a common skin condition that presents acutely with asymptomatic, scaly and oval plaques, usually in a well‐recognised distribution over the trunk. Two men developed ovoid, scaly and annular lesions limited to the radiotherapy field during treatment for pelvic malignancies and without a preceding herald patch. Other causes of the eruption were excluded on clinical and pathological grounds and the histopathological features were consistent with a pityriasis rosea‐like eruption. In both cases the lesions resolved spontaneously by 8 weeks. These are the first reported cases of a localised pityriasis rosea‐like eruption arising during radiotherapy.     

108例药疹的临床分析

时108例住院药疹进行临床分析。致病药物主要为抗菌素类，占44．44％，其次为解热镇痛药及中草药，分别为16．67％。12．96％，药疹类型以多形红斑型最常见。占31．48％。其次为发疹型及红皮病型，均为18．52％，抗结核药，中草药及抗癫痫药多引起重症药疹。     

药疹43例临床分析

在43例中,致敏药物有血清制剂(10例23％),解热止痛药(7例16％),抗痛风药(别嘌呤醇)(7例16％),抗癫痫药(6例14％),青霉素药类(4例9％),皮损有荨麻疹型(14例),大疱型(9例),麻疹样型(8例),湿疹样型(3例),红皮病型、紫癜型、泛发性脓胞型各2例,多型红斑型、固定型、扁平苔藓样型各1例。