Lee E S, Lee M G, Lee J B
Department of Dermatology, Yonsei University College of Medicine, Seoul, Korea.
Genitourin Med. 1990 Jun;66(3):202-4. doi: 10.1136/sti.66.3.202.
An unusual form of secondary syphilis, characterised by oozing tumours on the forehead and scalp concomitantly with plaques in the genital area, is presented. The patient was diagnosed as having secondary syphilis by dark-field examination, serologic tests for syphilis, and demonstration of spirochetes in the tissues by the immunoperoxidase technique with avidin-biotin peroxidase complex. Treatment with benzathine penicillin led to rapid resolution of the skin lesions one month later. This case of tumorous syphilid, a variant of papular syphilid, which appears not to have been described in the literature previously.
本文报告了一种不寻常的二期梅毒，其特征为前额和头皮出现渗出性肿瘤，同时生殖器部位出现斑块。通过暗视野检查、梅毒血清学检测以及采用抗生物素蛋白-生物素过氧化物酶复合物的免疫过氧化物酶技术在组织中检测到螺旋体，该患者被诊断为二期梅毒。苄星青霉素治疗一个月后，皮肤病变迅速消退。此例肿瘤性梅毒疹是丘疹性梅毒疹的一种变体，此前文献中似乎未曾有过描述。
