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今天上午,我刚坐定,60多岁的张老汉,拿着一份病理报告单来复诊。一看报告单,着实让我大吃一惊,竟然是二期梅毒疹!1周前,这位张老汉来初诊,当时,病人全身起淡红斑,针尖至指甲大小,不融合,表面无明显鳞屑,亦无明显自觉症状,我考虑诊断副银屑病或玫瑰糠疹,因皮损表现不典型,故建议其做皮肤组织活检,通过病理切片以进一步明确诊断。而今天的报告单上赫然写着“梅毒”。张老汉是近郊农民,穿着朴素,其貌不扬。因此,我在诊病时根本没往性病方面考虑。赶紧让他去化验非梅毒螺旋体抗原血清
This morning, I was just sitting. A man aged 60 and over, with a pathology report, came to referral. A look at the report card, really surprised me, turned out to be two syphilis rash! 1 week ago, the old man to the first visit, when the patient from the body pale erythema, tip to nail size, no fusion, the surface no obvious scales, but also No obvious symptoms, I consider the diagnosis of psoriasis or pityriasis rosea, due to skin lesions atypical, it is recommended to do skin biopsy, through pathological sections to further confirm the diagnosis. Today’s report card impressively says “syphilis.” Zhang old man is a suburban peasant, dressed in simple, superficial. Therefore, I did not think about sexually transmitted diseases at the time of my visit. Quickly let him go to test non-Treponema pallidum antigen serum