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[皮疹与肾病综合征:考虑梅毒]

[Rash and nephrotic syndrome: consider syphilis].

作者信息

Koenig Martial, Duband Sébastien, Thibaudin Damien, Cathébras Pascal

机构信息

Service de médecine interne, Hôpital Nord, Saint-Etienne.

出版信息

Presse Med. 2005 May 14;34(9):657. doi: 10.1016/s0755-4982(05)84007-2.

Abstract

INTRODUCTION

Kidney disease is among the clinical manifestations of secondary syphilis, as this case report shows.

OBSERVATION

During serologically confirmed secondary syphilis, a 63-year-old man developed a nephrotic syndrome diagnosed after biopsy as membranous nephropathy.

DISCUSSION

Membranous nephropathy is an immunological complication of secondary syphilis. Recovery usually follows treatment. It is often associated with signs that may erroneously suggest connective tissue disease.

摘要

引言

如本病例报告所示,肾病是二期梅毒的临床表现之一。

观察

在血清学确诊的二期梅毒期间,一名63岁男性出现肾病综合征,活检后诊断为膜性肾病。

讨论

膜性肾病是二期梅毒的一种免疫并发症。通常治疗后可康复。它常伴有一些可能错误提示结缔组织病的体征。

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