Baudagna G B, de Miguel V C, Greco V, Lapadula J R, O'Leary K G, Villaverde M E
Servicio de Clínica Médica, Hospital Nacional Dr. Alejandro Posadas, Haedo.
Medicina (B Aires). 1999;59(3):277-8.
We present a case of a 38 year old woman with nephrotic syndrome and skin rash. She had been previously healthy. At the beginning she showed nonpruritic macular papular lesion in trunk and upper and lower extremities with twenty days of evolution. The week previous to hospitalization, she presented eyelid and pretibial edema. The laboratory informed normal kidney function with proteinuria of 10 g/day, plasma proteins of 4.20 g/dl., cholesterol 334 mg/l, VDRL (+), 1/32 FTA abs (+) HIV non reactive, normal collagenogram. She was diagnosed as secondary syphilitic nephrotic syndrome. She was prescribed penicillin, rest and salt restriction. She presented good evolution before ending treatment and the syndrome was completely solved at the third week. The incidence of kidney condition associated with early staging of syphilis is lower than 0.3%. We call attention to this association, for such an uncommon case may not be detected.
我们报告一例38岁患有肾病综合征和皮疹的女性病例。她既往身体健康。起初,她的躯干及上下肢出现非瘙痒性斑丘疹,病程已20天。住院前一周,她出现眼睑和胫前水肿。实验室检查显示肾功能正常,蛋白尿10g/天,血浆蛋白4.20g/dl,胆固醇334mg/l,性病研究实验室试验(VDRL)阳性,荧光螺旋体抗体吸收试验(FTA abs)1/32阳性,艾滋病毒检测阴性,胶原图谱正常。她被诊断为二期梅毒肾病综合征。给予她青霉素治疗、休息及限盐。在完成治疗前她病情好转,第三周时综合征完全缓解。梅毒早期阶段相关肾脏疾病的发生率低于0.3%。我们提请注意这种关联,因为这样罕见的病例可能未被发现。