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皮肤作为性传播感染的一个指标。

Skin as an indicator for sexually transmitted infections.

作者信息

de Vries Henry J C

机构信息

STI Outpatient Clinic, Cluster of Infectious diseases, Public Health Service Amsterdam, Amsterdam, The Netherlands; Department of Dermatology, Academic Medical Center, Post Office Box 22700, 1100 DE, University of Amsterdam, Amsterdam, The Netherlands; Centre for Infection and Immunity Amsterdam (CINIMA) Academic Medical Centre University of Amsterdam, Amsterdam, The Netherlands; Centre for Infectious Diseases Control; National Institute for Public Health and the Environment (CIb/RIVM), Bilthoven, The Netherlands.

出版信息

Clin Dermatol. 2014 Mar-Apr;32(2):196-208. doi: 10.1016/j.clindermatol.2013.08.003.

Abstract

Cutaneous signs and skin conditions associated with sexually transmitted infections (STIs) are discussed. Syphilis, condyloma acuminata, and scabies are well-known STIs with cutaneous manifestations. Chlamydia and gonorrhea can also cause specific muco-cutaneous signs and symptoms. HIV often manifests itself through skin conditions. Dermatologists are pivotal in the timely diagnosis of HIV infection and play an important role in the disease prognosis and ongoing transmission. Anal intra-epithelial neoplasia (AIN), an HPV related precursor of anal carcinoma affecting HIV positive men, is a relatively new condition that many dermatologists will face in the future. STIs should be involved in the differential diagnosis when dermatologists are confronted with anogenital dermatoses, especially in patients with an increased risk for STIs.

摘要

本文讨论了与性传播感染(STIs)相关的皮肤体征和皮肤疾病。梅毒、尖锐湿疣和疥疮是众所周知的有皮肤表现的性传播感染。衣原体和淋病也可引起特定的黏膜皮肤体征和症状。艾滋病毒(HIV)常通过皮肤疾病表现出来。皮肤科医生在HIV感染的及时诊断中起着关键作用,并在疾病预后和持续传播中发挥重要作用。肛门上皮内瘤变(AIN)是一种与HPV相关的肛门癌前病变,影响HIV阳性男性,是许多皮肤科医生未来将面临的一种相对较新的疾病。当皮肤科医生面对肛门生殖器皮肤病时,尤其是在性传播感染风险增加的患者中,应考虑性传播感染进行鉴别诊断。

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