神经梅毒并艾滋病2例  

Two cases of Neurosyphilis Accompany with Acquired Immunodeficiency Syndrome

作　　者：胡洁[1] 陈晓红[1] 熊琦[1] 黄洋[1] 袁伟[1] 

机构地区：[1]遵义医学院附属医院皮肤科,贵州遵义563003

出　　处：《中国皮肤性病学杂志》2016年第7期716-718,共3页The Chinese Journal of Dermatovenereology

摘　　要：例1男,17岁。全身皮肤红斑、斑丘疹和鳞屑伴瘙痒并头痛1个月。皮肤科情况:全身散在分布红斑和斑丘疹,上覆鳞屑,界清;肛周大片淡红色疣状斑块。例2男,32岁。右侧肢体乏力伴抽搐1个月。除例1的RPR 1∶256(+),例2的RPR 1∶128(+)外,余TPPA,HIV-Ab和确诊实验均(+),脑脊液也均异常。诊断均为神经梅毒并艾滋病。例1因为青霉素过敏,每天予头孢曲松钠2g静滴,连用12d,3周后皮疹全部消退,随访22个月,未见复发。例2放弃治疗。Case 1 was a male aged 17 years who had been suffering from pruritic erythema,maculopapule and scale on his whole body for 1 month, Meanwhile, he felt headache. There was some scales on the erythema and maculopapule on the whole body and lesion boundaries were clear; crissum had a large distributed reddish verrucous plaques. Case 2 was a male aged 32 years who had the right side of the body lack of power for one month with convulsions. Except the RPR 1：256（ ＋ ）in casel and RPR 1：128 （ ＋ ） in case 2,the remaining TPPA, HIV- Ab and confirmed experiment were positive. Besides cerebrospinal fluid was abnorma. The two cases were diagnosed as ＂Neurosyphilis and AIDS＂. Case 1 had allergic history of pencillin , he was treated with ceftriaxone（2g/d）, once a day continuously for 12 days. The rash of case 1 gradually subsides after 3 weeks, followed-up of 22 months and had no recurrence. Case 2 gave up treatment.

关 键 词：神经梅毒 艾滋病 

分 类 号：R759.1[医药卫生—皮肤病学与性病学] R512.91[医药卫生—临床医学]