以下肢麻木、乏力起病的梅毒性脊髓脊膜炎一例  

A case of syphilitic meningomyelitis with numbness and weakness of the lower extremity as the initial presentation

作　　者：万聪翀 蒋振兴[2] 施辛[1] 徐春兴[3] 张汝芝[3] 经晶[1] 陈晶晶[1] 郑聪聪 单芳芳 朱丽珺 Wan Congchong;Jiang Zhenxing;Shi Xin;Xu Chunxing;Zhang Ruzhi;Jing Jing;Chen Jingjing;Zheng Congcong;Shan Fangfang;Zhu Lijun(Department of Dermatology,The Second Affiliated Hospital of Soochow University,Suzhou 215004,China;Department of Radiology,The Third Affiliated Hospital of Soochow University,Changzhou 213000,Jiangsu,China;Department of Dermatology,The Third Affiliated Hospital of Soochow University,Changzhou 213000,Jiangsu,China)

机构地区：[1]苏州大学附属第二医院皮肤科,215004 [2]苏州大学附属第三医院影像科,江苏常州213000 [3]苏州大学附属第三医院皮肤科,江苏常州213000

出　　处：《中华皮肤科杂志》2019年第5期333-334,共2页Chinese Journal of Dermatology

摘　　要：患者女,60岁.因双下肢麻木、乏力1个月,小便失禁20 d收入苏州大学附属第二医院皮肤科病房.6周前患者在做轻微劳动时出现腰骶部疼痛,伴左大腿麻木,步行后腰痛明显加重,步行距离明显缩短,休息后腰痛缓解,左大腿麻木无明显改善.病情逐渐进展,左下肢无力加重,3周后不能自行行走,就诊于当地医院骨科,就诊时1周未解大便,小便正常,次日出现小便潴留,给予保留导尿.体检:腰椎棘突及椎旁压痛阳性,叩击痛阳性.

关 键 词：双下肢麻木 乏力 梅毒性 膜炎 脊髓 小便失禁 腰骶部疼痛 苏州大学 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]