类似股癣的二期梅毒疹1例并文献复习  

A Case Report of Secondary Syphilis Similar to Tinea Cruris and Review of the Literature

作　　者：蔡丽[1] 周悦[1] 刘平英[1] 赵丽倩[1] 

机构地区：[1]河北省人民医院皮肤科,河北石家庄050051

出　　处：《中国皮肤性病学杂志》2013年第7期694-695,共2页The Chinese Journal of Dermatovenereology

摘　　要：目的探讨环形二期梅毒疹的临床特征。方法报告1例多次被误诊为股癣的二期环状梅毒,并复习国内发表的25例有环形皮损表现的二期梅毒。结果环形梅毒疹表现为红色至暗红、褐红的斑疹、丘疹,排列成大小不等的环形、半环形,边界清楚,瘙痒程度不一。25例患者中16例外阴处有环形皮损。环形梅毒疹常被误诊为真菌感染、环状肉芽肿等。结论环形梅毒疹多由斑疹、丘疹演变而来,其暗红、褐红的色调可提示本病。对于外阴的环形损害,梅毒应作为一重要鉴别诊断。环形梅毒疹常与特征性梅毒损害并存,对疑诊患者要注意梅毒好发部位的查体。Objective To discuss the clinical features of annular syphilid. Methods A case of secondary syphilis misdiagnosed as tinea cruris was reported. Literature on annular syphilid was reviewed. Results Annular syphilid showed red to dark red, brownish red macule or papule which arranged into circles or arcs of different sizes with clear borders and different degree of itching. 16 patients had annular lesions on genitals. Annular syphilid was uaually misdiagnosed as fungal infection, granuloma annulare etc. Conclusion Annular syphilid was developed by macule or papule. The color of dark red or brownish red was suggestive. Syphilis may be considered in differential diagnosis of annular lesions especially on genitals. Annular syphilid and characteristic syphilid could be seen in the same patient, so it is important to examine the predilection sites when suspected.

关 键 词：二期梅毒 临床表现 二期梅毒病 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]