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在感染人类免疫缺陷病毒(HIV)和梅毒螺旋体的情况下银屑病的三联症表现及治疗

Triumvirate Presentation and Treatment of Psoriasis in the Setting of HIV and Treponema pallidum Infection.

作者信息

Kidron Ariel, Nguyen Hiep, Nguyen Hoang

机构信息

Emergency Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.

Orthopaedic Surgery, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.

出版信息

Cureus. 2022 Feb 11;14(2):e22129. doi: 10.7759/cureus.22129. eCollection 2022 Feb.

DOI:10.7759/cureus.22129
PMID:35308705
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8920797/
Abstract

Psoriasis is an autoimmune condition in which the immune system attacks healthy skin cells, causing the accelerated formation of new skin characterized by scaly patches or plaques. These lesions are formed due to the formation of new skin underneath dead skin that has yet to be shed. Although the cause of psoriasis is not completely understood, it has been associated with infections that may trigger or exacerbate the condition. Syphilis, a highly infectious sexually transmitted disease, may trigger a psoriasis outbreak; because syphilis is known as "the great imitator", it can present as many other chronic dermatoses and therefore often makes it very difficult to diagnose. Here, we describe a case of a 17-year-old Vietnamese male from Dong Nai Province who was initially diagnosed with psoriasis and later diagnosed with syphilis and HIV infection upon further investigation and testing.

摘要

银屑病是一种自身免疫性疾病,免疫系统攻击健康的皮肤细胞,导致以鳞屑斑块为特征的新皮肤加速形成。这些病变是由于在尚未脱落的死皮下形成新皮肤而形成的。虽然银屑病的病因尚未完全明确,但它与可能引发或加重该病的感染有关。梅毒是一种高度传染性的性传播疾病,可能引发银屑病发作;由于梅毒被称为“模仿大师”,它可以表现为许多其他慢性皮肤病,因此常常很难诊断。在此,我们描述一例来自同奈省的17岁越南男性病例,该患者最初被诊断为银屑病,经进一步检查和检测后,后来被诊断为梅毒和艾滋病毒感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fe6/8920797/d7acd1f3befb/cureus-0014-00000022129-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fe6/8920797/31edda335e2c/cureus-0014-00000022129-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fe6/8920797/08d5bc883d81/cureus-0014-00000022129-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fe6/8920797/d7acd1f3befb/cureus-0014-00000022129-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fe6/8920797/31edda335e2c/cureus-0014-00000022129-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fe6/8920797/08d5bc883d81/cureus-0014-00000022129-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fe6/8920797/d7acd1f3befb/cureus-0014-00000022129-i03.jpg

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本文引用的文献

1
A Case of Ostraceous Psoriasis with Psoriatic Arthritis in an AIDS Patient.一名艾滋病患者患骨化性银屑病伴银屑病关节炎病例。
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Secondary Syphilis Presenting As Palmoplantar Psoriasis.表现为掌跖银屑病的二期梅毒
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