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皮肤血管炎作为播散性淋球菌感染的唯一表现:病例报告

Cutaneous vasculitis as the sole manifestation of disseminated gonococcal infection: case report.

作者信息

Mastrolonardo M, Loconsole F, Conte A, Rantuccio F

机构信息

Department of Dermatology, University of Bari, Italy.

出版信息

Genitourin Med. 1994 Apr;70(2):130-1. doi: 10.1136/sti.70.2.130.

DOI:10.1136/sti.70.2.130
PMID:8206473
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1195210/
Abstract

One of the possible systemic complications of gonorrhoea is disseminated gonococcal infection (DGI), which is usually characterised by both skin and joint lesions. While joint involvement ranges from tenosynovitis to suppurative arthritis, cutaneous involvement features varied non-specific patterns often clinically and histologically consistent with vasculitis. We report a case of DGI in which an extensive, vesicobullous, haemorrhagic, and necrotic cutaneous vasculitis was the sole manifestation of the disease.

摘要

淋病可能的全身并发症之一是播散性淋球菌感染(DGI),其通常以皮肤和关节病变为特征。关节受累范围从腱鞘炎到化脓性关节炎,皮肤受累的特征是多种非特异性表现,在临床和组织学上常与血管炎一致。我们报告一例DGI病例,其中广泛的水疱大疱性、出血性和坏死性皮肤血管炎是该疾病的唯一表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fec/1195210/ea91841367da/genitmed00020-0054-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fec/1195210/ea91841367da/genitmed00020-0054-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fec/1195210/ea91841367da/genitmed00020-0054-a.jpg

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本文引用的文献

1
Gonococcal arthritis syndromes: an update on diagnosis and management.
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Disseminated gonococcal infection (DGI) and gonococcal arthritis (GCA): II. Clinical manifestations, diagnosis, complications, treatment, and prevention.播散性淋球菌感染(DGI)和淋球菌性关节炎(GCA):II. 临床表现、诊断、并发症、治疗及预防
Semin Arthritis Rheum. 1981 Feb;10(3):173-97. doi: 10.1016/s0049-0172(81)80002-9.
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Disseminated gonococcal infections.播散性淋球菌感染
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Disseminated gonococcal infection.播散性淋球菌感染
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Septic gonococcal dermatitis. Demonstration of gonococci and gonococcal antigens in skin lesions by immunofluorescence.脓毒性淋菌性皮炎。通过免疫荧光法在皮肤病变中显示淋球菌和淋球菌抗原。
Arch Dermatol. 1969 Apr;99(4):421-5. doi: 10.1001/archderm.99.4.421.
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Clinical forms of gonococcal arthritis.
N Engl J Med. 1968 Aug 1;279(5):234-40. doi: 10.1056/NEJM196808012790503.
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Dermatohistopathology of chronic gonococcal sepsis.慢性淋菌性败血症的皮肤组织病理学
Arch Dermatol. 1973 Mar;107(3):403-6.