Blitshteyn Svetlana
State University of New York at Buffalo School of Medicine and Biomedical Sciences-Neurology, Buffalo, NY 14203, USA.
Headache. 2009 Mar;49(3):457-60. doi: 10.1111/j.1526-4610.2008.01295.x. Epub 2008 Oct 29.
We describe a patient with a history of recurrent headaches who developed severe and persistent left fronto-orbital and vertex head pain, in conjunction with a maculopapular rash, and was subsequently diagnosed with secondary syphilis. With the incidence of syphilis recently on the rise, we suggest that secondary syphilis should be considered in the differential diagnosis of any patient who presents with headache and a rash. Serologic screening tests for syphilis and a dermatology consultation should be obtained promptly for diagnostic confirmation and institution of treatment with antibiotics.
我们描述了一位有复发性头痛病史的患者，该患者出现了严重且持续的左额眶部和头顶疼痛，并伴有斑丘疹，随后被诊断为二期梅毒。鉴于近期梅毒发病率呈上升趋势，我们建议，对于任何出现头痛和皮疹的患者，在鉴别诊断时都应考虑二期梅毒。应立即进行梅毒血清学筛查试验并咨询皮肤科医生，以确诊并开始使用抗生素治疗。
