并非所有溶骨性骨病变都是恶性的：一例表现为多发颅骨溶骨性病变的梅毒性骨炎报告。

Not all lytic bone lesions are malignant: A report of syphilitic osteitis presenting with multiple lytic skull lesions.

作者信息

Rajeh Ahmad, Saleh Mohammed, Ojo Ademola S, Ojukwu Somtochukwu, Asemota Joseph, Ahmad Basharat, Atanda Oluwafunmilayo

机构信息

Department of Medicine, University of Missouri School of Medicine, Columbia, MO, USA.

Department of Internal Medicine, Howard University Hospital, Washington, DC, USA.

出版信息

IDCases. 2022 May 18;28:e01518. doi: 10.1016/j.idcr.2022.e01518. eCollection 2022.

DOI:10.1016/j.idcr.2022.e01518

PMID:35646596

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9136091/

Abstract

Syphilitic osteitis is one of the rare and often under-reported complications of early syphilis. Recognizing this entity is important as it may mimic other conditions like multiple myeloma, lymphoma, or metastatic malignancies. Misdiagnosis and delayed management can lead to irreversible destructive lesions. We herein report a case of calvaria syphilitic osteitis that was initially investigated for possible lymphoma and later diagnosed as secondary syphilis.

摘要

梅毒骨炎是早期梅毒罕见且常未被报告的并发症之一。认识到这种疾病很重要，因为它可能与其他疾病相似，如多发性骨髓瘤、淋巴瘤或转移性恶性肿瘤。误诊和延迟治疗可能导致不可逆转的破坏性病变。我们在此报告一例颅骨梅毒骨炎病例，该病例最初因可能的淋巴瘤接受检查，后来被诊断为二期梅毒。