中华皮肤科杂志 ›› 1999, Vol. 32 ›› Issue (3): 158-160.

• 论著 • 上一篇    下一篇

早期梅毒误诊39例临床及病理分析

周华, 杨帆, 洪福昌, 王立阳, 莫雪珍   

  1. 深圳市慢性病防治院皮肤病防治研究所, 518020
  • 收稿日期:1998-12-18 修回日期:1999-02-10 出版日期:1999-06-15 发布日期:1999-06-15

Analysis of 39 Misdiagnosed Cases of Early Syphilis

Zhou Hua, Yang Fan, Hong Fuchang   

  1. Shenzhen Institute of Dermatology, Center for STD Control and Research, Shenzhen 518020
  • Received:1998-12-18 Revised:1999-02-10 Online:1999-06-15 Published:1999-06-15

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摘要： 目的 了解梅毒误诊情况及原因,探讨组织病理学在梅毒诊断中的意义。方法 对首诊误诊的39例早期梅毒进行了临床分析,其中12例做了组织病理学检查。结果 一期梅毒男性易误诊为软下疳、生殖器疱疹、疥疮结节等,女性易误诊为急性女阴溃疡、软下疳等;二期梅毒斑疹及斑丘疹皮损易误诊为过敏性皮炎、玫瑰糠疹等;鳞屑性丘疹易误诊为银屑病;扁平湿疣易误诊为尖锐湿疣等。结论 病理检查对硬下疳、扁平湿疣、鳞屑性丘疹皮疹诊断有一定意义,而斑疹呈非特异性炎症改变。

关键词: 梅毒, 误诊

Abstract: Objective To study the cause of misdiagnosis of early syphilis and evaluate the significance of histopathology in the diagnosis of the disease.Methods 39 misdiagnosed cases of early syphilis were analyzed, and 12 of them were performed with histopathological examination.Results Primary syphilis was found to be commonly misdiagnosed as genital herpes,and scabies nodules, in male patients, and misdiagnosed as acute vulvovaginal ulcer and chancroid in females. For secondary syphilis, macular syphilide and maculopapular syphilide were easily misdiagnosed as dermatitis or pityriasis rosea; papulosquamous syphilide as psoriasis vulgaris, and condyloma latum as condyloma acuminatum.Conclusion The histopathology is of great significance in the diagnosis of primary syphilis、condyloma latum and papulosquamous syphilide, but of limitid value for macular syphilide.

Key words: Syphilis, Diagnostic errors