Castaño Hernández S, Quintana Marrero J, Soto Domínquez R, Pérez Sariol A C, Chang Ramírez T
Departamento de Dermatología, Hospital Docente Martín Chang Puga, Nuevitas, Camagüery, Cuba.
Bol Asoc Med P R. 1994 Apr-Jun;86(4-6):24-7.
Two 28 and 25 year old female patients were studied. Endoscopic analysis of their stomachs showed an hyperemic mammillation picture, neoplasia compatible, in the first patient, and an ulcerous lesion in the second one. Both findings were the result of a positive serological test to discard syphilis. All this, together with a cutaneous and epidemiological history, represented an assumed diagnosis of a secondary stage syphilis with gastric disorders. Although it was not necessary, one case was submitted to a specific spirochaeta stain, but results were negative. The true diagnosis resulted from a penicillin treatment, which provoked a cutaneous-visceral history regression as well as a diminishing in V.D.R.L. titles.
对两名分别为28岁和25岁的女性患者进行了研究。对她们胃部的内镜分析显示，第一名患者有充血性乳头样病变，疑似肿瘤，第二名患者有溃疡性病变。这两个发现均是梅毒血清学检测呈阳性的结果。所有这些，连同皮肤和流行病学病史，提示诊断为二期梅毒伴胃部病变。尽管没有必要，但对其中一例进行了特异性螺旋体染色，结果为阴性。真正的诊断来自青霉素治疗，该治疗使皮肤-内脏病史消退，同时梅毒血清学试验（V.D.R.L.）滴度降低。
