Handoko M Louis, Duijvestein Marjolijn, Scheepstra Cornelis G, de Fijter Carola W H
Department of Internal Medicine/Nephrology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands.
BMJ Case Rep. 2013 Feb 8;2013:bcr2012008279. doi: 10.1136/bcr-2012-008279.
A patient in his late 30s presented with symptoms consistent with a nephrotic syndrome. Renal biopsy revealed membranous nephropathy. He also mentioned a spontaneous resolving 'rash' at his glans penis after unprotected intercourse. Therefore, he was tested for sexually transmitted diseases as a possible underlying cause of his nephrotic syndrome. Serology for syphilis was positive with high titres. After a single penicillin injection, there was fast and complete clinical recovery.
一名30多岁的男性患者出现了符合肾病综合征的症状。肾活检显示为膜性肾病。他还提到在无保护性行为后，龟头出现了自行消退的“皮疹”。因此，对他进行了性传播疾病检测，以寻找其肾病综合征可能的潜在病因。梅毒血清学检测呈高滴度阳性。单次注射青霉素后，患者临床迅速且完全康复。
