de Escalante Yangüela B, Lacasa Marzo J, Carrasquer Sese J A, Oncins Torres R, Palazón Astiz R, Sampedro Feliu J A
Servicio de Medicina Interna, Hospital Comarcal de Barbastro, Huesca.
An Med Interna. 1993 Jun;10(6):287-9.
Gastric lesions in the progression of syphilis are very rare and they have several forms of presentation resembling lesions of different nature. We describe a case of secondary syphilis in an heterosexual patient, with persistent gastric ulcers and hepatic affection, in which the evolution and the observations with laparotomy suggested neoplasia. In the gastric biopsy, an infiltration of plasmatic and neutrophil cells was observed and in the hepatic biopsy, necrotic nodules and granulomas. The spirochaeta-specific tinction, although not indispensable, confirms the diagnosis of gastric syphilis. The previous presence of a syphilitic chancre and typical cutaneous lesions are of great help in suspecting a luetic process.
梅毒进展期的胃部病变非常罕见，其有几种表现形式，类似于不同性质的病变。我们描述了一例异性恋患者的二期梅毒病例，该患者有持续性胃溃疡和肝脏病变，其病情演变及剖腹探查结果提示为肿瘤。在胃活检中，观察到浆细胞和中性粒细胞浸润，在肝活检中，观察到坏死结节和肉芽肿。螺旋体特异性染色虽非必不可少，但可确诊胃梅毒。先前存在梅毒硬下疳和典型的皮肤病变对怀疑梅毒病程有很大帮助。
