儿童获得性梅毒20例临床分析
发布时间:2018-05-17 19:57
本文选题:儿童 + 获得性梅毒 ; 参考:《中国皮肤性病学杂志》2015年08期
【摘要】:目的了解儿童获得性梅毒的临床表现、传播途径及治疗方法。方法回顾性分析2003年1月-2013年1月诊治的20例儿童获得性梅毒的临床资料。结果 20例患儿均为二期梅毒。19例患儿均有与现症梅毒患者密切接触史,20例患儿RPR和TPPA均(+),其皮损表现为外阴、肛周扁平湿疣,躯干、四肢、掌跖铜红色斑疹,头部虫蚀状脱发,齿龈、舌黏膜白斑。11例患儿被误诊为其他皮肤病。结论儿童获得性梅毒皮损表现与成人二期梅毒相似,未出现心血管梅毒,但临床易被误诊,传播途径主要是与梅毒患者的密切接触。
[Abstract]:Objective to investigate the clinical manifestation, transmission and treatment of acquired syphilis in children. Methods the clinical data of 20 children with acquired syphilis from January 2003 to January 2013 were retrospectively analyzed. Results all 20 cases were secondary syphilis. 19 cases had close contact with present syphilis. RPR and TPPA were all found in 20 cases. The skin lesions were vulva, perianal condyloma flat condyloma, trunk, extremities, palmar metatarsus, copper erythema. 11 cases of head worsted alopecia, gingival and tongue leukoplakia were misdiagnosed as other skin diseases. Conclusion the skin lesions of acquired syphilis in children are similar to secondary syphilis in adults and there is no cardiovascular syphilis, but it is easy to be misdiagnosed clinically, and the main route of transmission is close contact with syphilis patients.
【作者单位】: 青岛市市立医院皮肤科;
【分类号】:R759.1
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