发生在早期梅毒的脑部树胶肿一例  

Cerebral gelatoma in early syphilis:a case report

作　　者：李爱莉[1] 孙培宏 冯莉[1] 孙杰[1] LI Aili;SUN Peihong;FENG Li;SUN Jie(Dalian Dermatology Hospital,Dalian 116021,China)

机构地区：[1]大连市皮肤病医院,辽宁大连116000

出　　处：《中国麻风皮肤病杂志》2022年第9期638-639,共2页China Journal of Leprosy and Skin Diseases

基　　金：大连市医学科学研究计划项目(编号:2022010)

摘　　要：患者,女,50岁。梅毒病史17个月,阵发性头疼4个月。17个月前患者确诊“一期梅毒”,正规治疗并定期复查,快速血浆反应素试验(RPR)滴度下降4倍,皮疹消退。10个月前躯干、四肢出现鳞屑性红斑,掌跖部亦有类似皮疹,RPR滴度上升,梅毒复发,再次治疗后皮疹消退。4个月前出现阵发性头疼,后于外院神经外科住院,查头部核磁共振成像为右侧肿块,考虑为转移性肿瘤。给予手术治疗,术后组织病理为梅毒树胶肿,头痛症状消失,遂于我院性病科进行梅毒治疗及随访。The 50-year-old female patient had a history of syphilis for 17 months and paroxysmal headaches for 4 months.Seventeen months ago,the patient was diagnosed as primary syphilis,and received regular treatment and regular visit.The RPR titer decreased by 4 times and the rash subsided for 6-month treatment.Ten months ago,syphilis recurred,and given the regular treatment,the rash subsided after treatment again.Four months ago,he occurred paroxysmal headache,and MRI showed a mass on the right side of head,which was considered as a metastatic tumor.The patient was treated with surgery and the histological examination showed syphilitic gumma.Headache disappeared then the patient was given antisyphilitic treatment.

关 键 词：早期梅毒 树胶肿 

分 类 号：R759.11[医药卫生—皮肤病学与性病学] R742.7[医药卫生—临床医学]