Bruce Iain A, Roper Alexandra Jane, Gayed S L, Dabrowski M, Morar Pradeep
Department of Ear, Nose and Throat Surgery, Royal Blackburn Hospital, Blackburn, BB2 3HH, UK.
Am J Otolaryngol. 2009 Sep-Oct;30(5):347-9. doi: 10.1016/j.amjoto.2008.06.019. Epub 2008 Oct 11.
We present the case of a 38-year-old man who presented to the ENT clinic with cervical lymphadenopathy, oral ulceration, and generalized rash. He was diagnosed with syphilis after serologic testing. After years of decline, the incidence of syphilis is now increasing. It is unusual for patients to present to the otolaryngologist, but the recent marked increase in the incidence of syphilis in the UK is likely to translate into a greater incidence of pathology in the head and neck region. Knowledge of the condition, along with its head and neck manifestations, remains central to the diagnosis of this treatable infection. This article provides a summary of syphilis in the head and neck, for the latest generation of otorhinolaryngologist.
我们报告一例38岁男性病例，该患者因颈部淋巴结病、口腔溃疡和全身性皮疹就诊于耳鼻喉科诊所。血清学检测后，他被诊断为梅毒。在经历多年下降后，梅毒的发病率目前正在上升。患者就诊于耳鼻喉科医生的情况并不常见，但英国近期梅毒发病率的显著上升可能会导致头颈部区域病理发生率的增加。了解这种疾病及其头颈部表现，仍然是诊断这种可治疗感染的核心。本文为新一代耳鼻喉科医生总结了头颈部梅毒的相关情况。
