诊断病例。非典型生殖器病变。

Case for diagnosis. Atypical genital lesion.

作者信息

Sardinha José Carlos Gomes, Ramos Mauro Cunha, Schettini Antonio Pedro Mendes, Talhari Sinesio

机构信息

Service of Sexually Transmitted Infection - Fundação Alfredo da Matta (FUAM) - Manaus (AM), Brazil.

Service of Dermatology - Secretaria Municipal de Saúde de Porto Alegre - Porto Alegre (RS), Brazil.

出版信息

An Bras Dermatol. 2018 Jan-Feb;93(1):143-144. doi: 10.1590/abd1806-4841.20186969.

DOI:10.1590/abd1806-4841.20186969

PMID:29641720

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5871385/

Abstract

We present a case of a penile lesion with a clinical appearance similar to Mondor penile disease (thrombosis of the dorsal vein of the penis) or penile sclerosing lymphangitis. Laboratory evaluation, however, showed a solid lesion, with no vascular component to Doppler ultrasonography and no treponema to immunohistochemistry. Histological and serological tests were compatible with secondary syphilis. The authors reinforce the need for the inclusion of syphilis in the differential diagnosis of penile cord injuries.

摘要

我们报告一例阴茎病变病例，其临床表现类似于蒙多阴茎病（阴茎背静脉血栓形成）或阴茎硬化性淋巴管炎。然而，实验室评估显示为实性病变，多普勒超声检查无血管成分，免疫组化检查未发现梅毒螺旋体。组织学和血清学检查结果与二期梅毒相符。作者强调在阴茎条索状损伤的鉴别诊断中需要考虑梅毒。