Department of Dermatology, Affiliated Hospital of North China University of Science and Technology, Tangshan, Hebei Province, 063000, China.
Department of Clinical Laboratory, Chengde Central Hospital, Chengde, Hebei Province, China.
Int J Infect Dis. 2022 Sep;122:644-646. doi: 10.1016/j.ijid.2022.07.028. Epub 2022 Jul 13.
Syphilis is a sexually transmitted infection (STI) caused by treponema pallidum. Its rash usually affects the trunk and limbs extensively, including the palms and soles of the feet. Secondary syphilis confined to the face is extremely rare.
We report a case of annular rupioid secondary syphilis, which was misdiagnosed as verruca vulgaris.
The patient's lesions were confined to the face and resembled oyster shells. Her serological tests results were positive for treponema pallidum particle agglutination assay (TPPA) and rapid plasma reagin (RPR) (1:64).
According to epidemiological history, clinical presentation, non-treponemal tests, treponemal tests, and effective benzathine penicillin G treatment, confirmed secondary syphilis.
梅毒是一种由苍白密螺旋体引起的性传播感染（STI）。其皮疹通常广泛累及躯干和四肢，包括手掌和足底。局限于面部的二期梅毒极为罕见。
我们报告了一例环状皲裂性二期梅毒，误诊为寻常疣。
患者的皮损局限于面部，类似牡蛎壳。她的血清学检测结果梅毒螺旋体颗粒凝集试验（TPPA）和快速血浆反应素（RPR）均为阳性（1：64）。
根据流行病学史、临床表现、非梅毒螺旋体检测、梅毒螺旋体检测以及有效的卞星青霉素 G 治疗，确诊为二期梅毒。
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