Sapra S, Weatherhead L
Division of Dermatology, Ottawa General Hospital, Ontario, Canada.
Arch Dermatol. 1989 Dec;125(12):1666-9.
An indigent male patient presented with a widespread nodular eruption involving the torso and limbs. The differential diagnosis included nodular secondary syphilis, Kaposi's sarcoma, sarcoidosis, and lymphoma. Investigation confirmed secondary syphilis with positive cerebrospinal fluid serologic findings. Penicillin therapy produced a Jarisch-Herxheimer reaction despite pretreatment to diminish this. Discussion on the clinical features and treatment of syphilis is presented.
一名贫困男性患者出现累及躯干和四肢的广泛结节性皮疹。鉴别诊断包括结节性二期梅毒、卡波西肉瘤、结节病和淋巴瘤。检查证实为二期梅毒，脑脊液血清学检查结果呈阳性。尽管进行了预处理以减轻这种情况，但青霉素治疗仍引发了赫氏反应。本文介绍了梅毒的临床特征和治疗方法。
