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近一年来,我们遇到二例扁平湿疣误诊为尖锐湿疣的病例,报告如下: 例1 李×,男 22岁,未婚,北京市人,患者于86年10月初发现肛周出现绿豆大小丘疹,痒,局部潮湿感,外院诊断为“尖锐湿疣”。给予中药及外涂药物(药名不详)治疗四周无明显疗效,肛周产生摩擦痛,同时阴囊及龟头部亦出观丘疹、糜烂,脓性分泌物而来我院就诊。查体:一般情况好。肛周密集分布暗红色肥大扁平丘疹,表面有较多粘波性分泌物,阴囊及包皮边缘有类似牛皮癣样皮肤损害。阴茎根部见小片状糜兰、渗出,翻转包皮时疼痛。龟头有少数圆形红斑浸润性皮损,其上前方见一小指甲大小溃疡,有较
In the past year, we encountered two cases of condyloma acuminatum misdiagnosed as condyloma acuminatum, the report is as follows: Example 1 Li ×, male 22 years old, unmarried, Beijing, the patient found in early October 86 perianal miliary papules appear, Itch, local dampness, the hospital diagnosed as “genital warts.” Given traditional Chinese medicine and topical drugs (drug name unknown) no significant effect of the treatment for four weeks, the perianal produce friction, scrotum and glans Department at the same time out of the view papules, erosion, purulent discharge to our hospital. Physical examination: the general situation is good. Deep perianal distribution of dark red hypertrophy flat papules, the surface of more viscous secretions, scrotal and foreskin margin similar to psoriasis-like skin lesions. Penile root see a small piece of the membrane-like mulberry, exudation, flip the foreskin when the pain. Glaucoma with a few circular erythema infiltrative lesions, see the size of a small nail ulcers on the front, there are more