以脱发为唯一表现且出现梅毒血清学前带现象的二期梅毒1例  

Secondary Syphilis with Alopecia as the Sole Manifestation and Serological Prezonal Phenomenon:A Case Report

作　　者：张小斌[1] 郭艳[1] 张秀劼[1] 苏兴芳[1] 胡轶[1] 刘秀娟[1] 刘春桃 张琬悦[1] ZHANG Xiaobin;GUO Yan;ZHANG Xiujie;SU Xingfang;HU Yi;LIU Xiujuan;LIU Chuntao;ZHANG Wanyue(Yunnan Provincial Center for Disease Control and Prevention,Kunming 650022,China)

机构地区：[1]云南省疾病预防控制中心性病艾滋病防制所,云南昆明650022

出　　处：《中国皮肤性病学杂志》2022年第6期695-696,共2页The Chinese Journal of Dermatovenereology

基　　金：国家“十三五”科技重大专项云南省防治艾滋病规模化现场流行病学和干预研究(2018ZX10715006)。

摘　　要：患者男,19岁,不明原因脱发1个月余。患者有男男性行为史,其余无特殊。头枕部可见弥漫性虫蚀状脱发,脱发区边界清,头皮肤色正常,无断发,无结痂、糜烂。梅毒螺旋体颗粒凝集试验(TPPA)阳性,快速血浆反应素环状卡片试验(RPR)阳性,滴度1∶128。综上诊断为二期梅毒(梅毒性脱发)。给予苄星青霉素240万U分两侧臀部肌注,1次/周,共3次。The 19-year-old male presented with unexplained hair loss for more than one month.He had a history of men who have sex with men.Diffuse worm-eat alopecia could be seen on the headrest,the boundary of the alopecia area was clear,the skin color of the head was normal,and there was no broken hair,noscabs,orersions.TPPA(+),RPR 1∶128(+).The patient was diagnosed as secondary syphilis(syphilitic alopecia)based on the results of serologic test for syphilis and clinical symptoms,then treated with benzathine penicillin G(2.4 million U)on both buttocks,once a week,three times in total.

关 键 词：梅毒性脱发 血清学前带现象 二期梅毒 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]