以环形疹为主要表现的二期梅毒误诊1例  

A Case of Easily Misdiagnosed Annular Rash of Secondary Syphilis

作　　者：高广程[1] 王增芳[1] 陈雪[1] 

机构地区：[1]首都医科大学附属北京友谊医院皮肤科,北京100050

出　　处：《中国皮肤性病学杂志》2011年第12期997-998,共2页The Chinese Journal of Dermatovenereology

摘　　要：患者男,26岁。阴茎、阴囊环形皮损,表面扁平,上覆少许鳞屑,瘙痒2月。外院以"湿疹和皮炎"治疗,无好转。皮损组织病理示:角化亢进及角化不全,棘层肥厚,上皮突延长,真皮浅层及血管周围有大量淋巴细胞、浆细胞浸润。RPR1:160(+),TPHA(+)。诊断:二期梅毒。予以苄星青霉素240万U治疗,皮损消退。现在随访中。A 26-year-old male had presented itching annular rashes which covered by few scales on the scrotum and penis for two months. Histological examination ： hyperkeratosis, parakeratosis, and acanthosis, epidermal ridge extension, lymphocytes and plasma cells infiltrated superficial dermis and perivascular space. Syphilis serology： TPHA（ ＋ ） ,RPR 1： 160（ ＋ ）. Diagnosis： secondary syphilis.

关 键 词：二期梅毒 误诊 漏诊 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]