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福尔曼龟头炎——原发性梅毒一种非常罕见的表现形式。

Follmann balanitis - A very rare presentation of primary syphilis.

作者信息

Arunprasath P, Someshwaran R, Mahadevan K, Babu N Prasanna, Ashwathi S

机构信息

Department of Dermatology, Annapoorana Medical College and Hospitals, Salem, Tamil Nadu, India.

Department of Microbiology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.

出版信息

Indian J Sex Transm Dis AIDS. 2023 Jul-Dec;44(2):163-164. doi: 10.4103/ijstd.ijstd_76_22. Epub 2023 Dec 6.

DOI:10.4103/ijstd.ijstd_76_22
PMID:38223147
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10785110/
Abstract

Syphilis is a sexually transmitted infection caused by . The primary stage of the disease manifests as a chancre. Balanoposthitis as a presenting feature of primary syphilis is a very rare presentation. A 26-year-old male presented with asymptomatic erythematous plaques involving the glans and prepuce after unprotected intercourse with a known female. Routine investigations, serology, and dark field examination were normal. Fontana-Masson stain revealed spirochetes and a diagnosis of syphilitic balanitis of Follmann was entertained. This rare presentation accounts for only 0.3%-0.5% of cases of primary syphilis and hence is highlighted in this case report.

摘要

梅毒是一种由……引起的性传播感染。该病的一期表现为硬下疳。以阴茎头炎作为一期梅毒的首发特征是一种非常罕见的表现。一名26岁男性在与一名已知女性进行无保护性交后,出现累及龟头和包皮的无症状红斑性斑块。常规检查、血清学检查及暗视野检查均正常。Fontana-Masson染色显示螺旋体,考虑为福尔曼梅毒性阴茎头炎的诊断。这种罕见表现仅占一期梅毒病例的0.3%-0.5%,因此在本病例报告中予以强调。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8f/10785110/400a3627141e/IJSTD-44-163-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8f/10785110/400a3627141e/IJSTD-44-163-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8f/10785110/400a3627141e/IJSTD-44-163-g001.jpg

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本文引用的文献

1
Syphilitic Balanitis of Follmann: Can Dermoscopy Be Useful Tool in the Differential Diagnosis?福尔曼梅毒性龟头炎:皮肤镜能否成为鉴别诊断的有用工具?
Dermatol Pract Concept. 2022 Jan 1;12(1):e2022022. doi: 10.5826/dpc.1201a22. eCollection 2022 Feb.
2
Synchronous primary and secondary syphilis - An uncommon presentation.一期梅毒与二期梅毒同时出现——一种罕见的表现。
Indian J Sex Transm Dis AIDS. 2021 Jan-Jun;42(1):85-87. doi: 10.4103/ijstd.IJSTD_13_20. Epub 2021 Feb 15.
3
Atypical manifestations of recent syphilis: study of 19 cases.
近期梅毒的非典型表现:19例研究
An Bras Dermatol. 2020 Sep-Oct;95(5):589-593. doi: 10.1016/j.abd.2020.03.008. Epub 2020 Jul 15.
4
Follmann Balanitis-An Atypical Form of Primary Cutaneous Syphilis.福尔曼龟头炎——原发性皮肤梅毒的一种非典型形式。
JAMA Dermatol. 2020 Sep 1;156(9):1012. doi: 10.1001/jamadermatol.2020.2275.
5
The clinical spectrum of syphilitic balanitis of Follmann: report of five cases and a review of the literature.福尔曼梅毒性龟头炎的临床谱:5例报告及文献复习
J Eur Acad Dermatol Venereol. 2016 Oct;30(10):1810-1813. doi: 10.1111/jdv.13802. Epub 2016 Jul 16.
6
Approach to balanitis/balanoposthitis: Current guidelines.龟头炎/阴茎头炎的治疗方法:现行指南
Indian J Sex Transm Dis AIDS. 2014 Jul-Dec;35(2):155-7. doi: 10.4103/0253-7184.142415.
7
Balanoposthitis and Penile Edema: Atypical Manifestations of Primary Syphilis.龟头炎和阴茎水肿:一期梅毒的非典型表现。
Sex Transm Dis. 2015 Sep;42(9):524-5. doi: 10.1097/OLQ.0000000000000322.
8
Syphilitic balanitis of Follmann: three case reports.福尔曼梅毒性龟头炎:三例报告
Acta Derm Venereol. 2011 Mar;91(2):191-2. doi: 10.2340/00015555-0983.
9
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Br J Vener Dis. 1975 Apr;51(2):138-40. doi: 10.1136/sti.51.2.138.