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三期梅毒诊断难点：病例报告并文献复习

Challenges in the Diagnosis of Tertiary Syphilis: Case Report with Literature Review.

机构信息

Department of Dermatology, Heliodor Święcicki Clinical Hospital, Poznan University of Medical Sciences, 60-806 Poznan, Poland.

Department of Dermatology and Venenerology, Poznan University of Medical Sciences, 60-806 Poznan, Poland.

出版信息

Int J Environ Res Public Health. 2022 Dec 17;19(24):16992. doi: 10.3390/ijerph192416992.

DOI:10.3390/ijerph192416992
PMID:36554872
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9778711/
Abstract

Tertiary syphilis is a large diagnostic challenge. It is rarely the case that it affects the skin, bone tissue and the eyes at the same time. The presented case shows that extensive symptomatology of syphilis poses a challenge in making a proper diagnosis in patients whose history does not suspect STDs. The study aims to present the case of a young woman hospitalized with a suspected autoimmune disease, diagnosed with symptomatic late syphilis with involvement of the skin, bones and eyes.

摘要

三期梅毒是一个重大的诊断挑战。它很少同时影响皮肤、骨骼组织和眼睛。所呈现的病例表明，在那些病史不怀疑性传播疾病的患者中，广泛的梅毒症状表现给正确诊断带来了挑战。本研究旨在介绍一例年轻女性住院的病例，该女性被怀疑患有自身免疫性疾病，后被诊断为症状性晚期梅毒，涉及皮肤、骨骼和眼睛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/76869cafde86/ijerph-19-16992-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/12f9c50abce1/ijerph-19-16992-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/6e2d6a834dd0/ijerph-19-16992-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/09e8f91f69cc/ijerph-19-16992-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/dedfd5de9e5b/ijerph-19-16992-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/29d35aae6512/ijerph-19-16992-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/d52f814e8619/ijerph-19-16992-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/84301636deef/ijerph-19-16992-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/1b7d986f4bda/ijerph-19-16992-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/92080b209c0a/ijerph-19-16992-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/0e4a8626d756/ijerph-19-16992-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/3d7a9c3ab87a/ijerph-19-16992-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/ce65b3d47747/ijerph-19-16992-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/c604e5854b73/ijerph-19-16992-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/76869cafde86/ijerph-19-16992-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/12f9c50abce1/ijerph-19-16992-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/6e2d6a834dd0/ijerph-19-16992-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/09e8f91f69cc/ijerph-19-16992-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/dedfd5de9e5b/ijerph-19-16992-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/29d35aae6512/ijerph-19-16992-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/d52f814e8619/ijerph-19-16992-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/84301636deef/ijerph-19-16992-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/1b7d986f4bda/ijerph-19-16992-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/92080b209c0a/ijerph-19-16992-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/0e4a8626d756/ijerph-19-16992-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/3d7a9c3ab87a/ijerph-19-16992-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/ce65b3d47747/ijerph-19-16992-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/c604e5854b73/ijerph-19-16992-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2c0/9778711/76869cafde86/ijerph-19-16992-g014.jpg

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J Surg Case Rep. 2022 Mar 26;2022(3):rjac093. doi: 10.1093/jscr/rjac093. eCollection 2022 Mar.
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Neurosyphilis presenting with focal middle cerebral artery stenosis and acute ischemic stroke: A case report.以大脑中动脉局灶性狭窄和急性缺血性卒中为表现的神经梅毒：一例报告。
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Cutaneous tertiary syphilitic gumma on the scalp.头皮上的皮肤三期梅毒树胶肿。
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Syphilis: then and now.梅毒：过去与现在。
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