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患者男,73岁。躯干及四肢反复多发环形红斑丘疹及水疱伴瘙痒5个月,曾按“皮肤过敏”治疗,效果不佳。皮肤科情况:躯干及四肢见环形红斑、水疱及浸润性暗红斑块。实验室检查:梅毒螺旋体明胶凝集试验(TPPA):1∶1 280(+),快速血浆反应素试验(RPR):1∶32(+),HIV抗体(-)。诊断:二期梅毒。予苄星青霉素240万U分两侧臀部肌肉注射,1次/周,连用3周后皮损基本消退。目前仍在随访中。
Male patient, 73 years old. Trunk and limbs repeatedly ring erythema and blisters with pruritus 5 months, once press “skin allergy ” treatment, the effect is not good. Dermatology: trunk and limbs see ring erythema, blisters and infiltrating dark red patches. Laboratory tests: Treponema pallidum gelatin agglutination test (TPPA): 1:1 280 (+), Rapid plasma testin (RPR): 1:32 (+), HIV antibody (-). Diagnosis: two syphilis. To benzathine penicillin 2.4 million U points hip muscle injection on both sides, 1 / week, once every 3 weeks after the basic subsided lesions. Currently under follow-up.