儿童获得性梅毒20例临床分析  

Clinical Analysis of 20 Cases of Acquired Syphilis in Children

作　　者：滕蔚[1] 金艳[1] 史同新[1] 

机构地区：[1]青岛市市立医院皮肤科,山东青岛266011

出　　处：《中国皮肤性病学杂志》2015年第8期825-826,共2页The Chinese Journal of Dermatovenereology

摘　　要：目的了解儿童获得性梅毒的临床表现、传播途径及治疗方法。方法回顾性分析2003年1月-2013年1月诊治的20例儿童获得性梅毒的临床资料。结果 20例患儿均为二期梅毒。19例患儿均有与现症梅毒患者密切接触史,20例患儿RPR和TPPA均(+),其皮损表现为外阴、肛周扁平湿疣,躯干、四肢、掌跖铜红色斑疹,头部虫蚀状脱发,齿龈、舌黏膜白斑。11例患儿被误诊为其他皮肤病。结论儿童获得性梅毒皮损表现与成人二期梅毒相似,未出现心血管梅毒,但临床易被误诊,传播途径主要是与梅毒患者的密切接触。Objective To analyze the clinical manifestations, transmit and treatment of acquired syphilis in children. Methods A retrospective analysis was conducted. The clinical data of 20 patients with acquired syphilis collected from January 2003 to January 2013 were assessed. Results All the 20 cases were secondary syph- ilis,nineteen of the patients had a history of close contact with syphilis patients. Both rapid plasma reagin （RPR） test and Treponema pallidum particle assay （TPPA） were positive in all the patients. The skin lesions were condyloma latum on the perianal and vulva, erythema on the trunk, extremity, palm and vola, worm-eaten alopecia, leukoplakia in the oral cavity mucosa. Eleven of the patients had been misdiagnosed. Conclusion The clinical manifestations of acquired syphilis in children are similar to acquired syphilis in adults. Cardiovascular syphilis is not found in children but often clinically misdiagnosed. Acquired syphilis in children can be transmited from close contact with syphilis patients.

关 键 词：儿童 获得性梅毒 二期梅毒 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]