老年人梅毒性脉络膜视网膜炎一例  

A Case of Syphilitic Chorioretinitis in Older Adult

作　　者：黄玉仪 刘丽敏 余国成[1] 刘洁[1] 孟晶[1] 

机构地区：[1]暨南大学附属第一医院眼科,广东 广州 [2]深圳市龙华区中心医院,广东 深圳

出　　处：《临床医学进展》2021年第4期1998-2002,共5页Advances in Clinical Medicine

摘　　要：老年人常被设定为梅毒的低风险群体,导致漏诊的发生,在缺乏典型症状和检验结果错误的老年患者身上,更是不可避免地出现误诊。本文报道了1例76岁的男性,以视网膜脉络膜炎为梅毒首发症状,且非特异性梅毒抗体试验为假阴性的病例。分析了老年人梅毒的特点及梅毒假阴性的原因。提示,应重视老年人梅毒,才能避免漏诊,并且在缺乏典型症状和检验结果错误的老年患者身上仍能做出正确诊断。The elderly patients are often been set as a low-risk group for syphilis, which always lead to missed diagnosis. In atypical cases and cases with wrong test results, misdiagnosis is almost inevitable. We reported a 76-year-old man with syphilitic chorioretinitis as the initial presentation of syphilis, and his non-treponemal tests (NTT) was false-negative. Through analyzing the characteristics of syphilis in the elderly people and the causes of false negative in syphilis, we emphasize the importance of paying attention to syphilis in the elderly. Only when we have enough awareness of syphilis in elderly patients, can we diagnose syphilis on the older adults, the atypical cases and cases with wrong test results.

关 键 词：梅毒性脉络膜视网膜炎 病例报告 假阴性 

分 类 号：R75[医药卫生—皮肤病学与性病学]