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以阴囊斑丘疹为主要表现的二期梅毒并HIV感染1例

The Chinese Journal of Dermatovenereology(2016)

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Abstract
患者男,32岁.阴囊肥厚性斑丘疹伴瘙瘁3个月.阴囊密集分布灰褐色肥厚性斑丘疹,呈椭圆形或多角形,直径0.3~ 1.0cm,灰褐色,上覆皮屑,界清,表面干燥,质硬.双侧腹股沟及大腿内侧见白斑和皮屑.阴茎根部近系带旁糜烂和渗液.有不洁性行为史,渗出液在暗视野显微镜下可见活动梅毒螺旋体,RPR(1∶32),TPPA(+),HIV确证实验(+),CD4+/CD8+∶0.43.诊断:二期梅毒;HIV感染.予苄星青霉素治疗后斑丘疹已消退.
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Key words
Scrotum,maculopapule,Secondary Syphilis,Human immunodeficiency virus
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