| 误诊为寻常疣的二期梅毒一例 |
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| 引用本文： | 南海峰,董国英. 误诊为寻常疣的二期梅毒一例[J]. 中国麻风皮肤病杂志, 2022, 38(2): 118-119. DOI: 10.12144/zgmfskin202202118 |
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| 作者姓名： | 南海峰 董国英 |
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| 作者单位： | 1衡水市第二人民医院皮肤科，河北衡水，053000;2衡水学院，河北衡水，053000 |
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| 摘 要： | 患者,女,42岁。双手掌多发斑丘疹45天。曾按寻常疣治疗效果不佳。皮损组织病理:表皮角化过度伴角化不全,棘层肥厚,真皮浅层可见大量淋巴细胞和浆细胞。实验室检查:TPPA(+),RPR 1∶64(+)。诊断:二期梅毒。予以苄星青霉素240万U治疗,每周1次,治疗3次皮损消退。
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| 关 键 词： | 二期梅毒 寻常疣 误诊 |
Secondary syphilis misdiagnosed as verruca vulgaris: a case report |
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| NAN Haifeng,DONG Guoying. Secondary syphilis misdiagnosed as verruca vulgaris: a case report[J]. China Journal of Leprosy and Skin Diseases, 2022, 38(2): 118-119. DOI: 10.12144/zgmfskin202202118 |
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| Authors: | NAN Haifeng DONG Guoying |
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| Affiliation: | 1 The Second People's Hospital of Hengshui City, Hengshui 053000, China; 2 Hengshui College, Hengshui 053000, China |
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| Abstract: | A 42-year-old female presented with multiple maculopapular rashes on her palms for 45 days.She was misdiagnosed as verruca vulgaris and given the corresponding treatment with no improvement.Histopathologic examination revealed epidermal hyperkeratosis accompanied by parakeratosis,acanthosis and a large number of lymphocytes and plasmocytes were found in the upper dermis.Laboratory examination showed positive TPPA and the titre of RPR was 1∶64.The case was diagnosed as secondary syphilis and was treated with an intramuscular injection of benzathine,2.4 million units,once a week.The skin lesions subsided after 3-week treatment. |
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| Keywords: | secondary syphilis common wart misdiagnosis |
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