Gómez Rodríguez N, Formigo Rodríguez E, Ferreiro Seoane J L, González Mediero G, Antón Badiola I
Servicio de Reumatología, Centro Médico POVISA, Vigo, Pontevedra.
An Med Interna. 1993 Oct;10(10):492-4.
We present a luetic secondarism in a 40-year-old woman starting as symmetric polyarthritis and hepatitis. The latter presence of cutaneous rash, oral aphtae and anemia, as well as the positivity of anticore antibodies (1/160 core pattern) and anti-cardiolipin antibodies initially suggested a connectivopathy. The diagnosis of secondary syphilis was confirmed by the luetic seropositive results (RPR and FTAabs) and the microscopic observation of mobile microorganisms compatible with Treponemas in the exudate obtained by scraping of the cutaneous lesions. The proteiform expressivity of luetic secondarism is stressed, as well as its rare presentation with articular inflammatory manifestations.
我们报告了一名40岁女性的梅毒继发性病变，起初表现为对称性多关节炎和肝炎。后来出现皮肤皮疹、口腔溃疡和贫血，以及抗核心抗体（核心模式1/160）和抗心磷脂抗体阳性，最初提示为结缔组织病。梅毒血清学阳性结果（RPR和FTAabs）以及在通过刮取皮肤病变获得的渗出物中显微镜观察到与梅毒螺旋体相符的活动微生物，证实了二期梅毒的诊断。强调了梅毒继发性病变的多样表现形式，以及其以关节炎症表现的罕见呈现。
