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例1男,28岁。躯干及四肢红斑伴瘙痒2个月,眉毛脱落1个月。查体见双侧眉毛全部脱落,背部散在分布黄豆至花生大红色斑疹,右大腿及双小腿伸侧见约十个直径1~4cm的圆形红色斑疹,界清,稍浸润,上均覆白色鳞屑,血CD4计数520个/μL,CD4/CD8比值1.1。例2男,56岁。全身皮疹2个月。颈部及双侧腹股沟见数个无痛性肿大淋巴结,颜面、躯干及四肢密集分布黄豆至蚕豆大暗红色浸润性丘疹、斑块及结节,部分表面破溃并坏死,右小腿踝关节屈侧见3.0cm×2.0cm大溃疡,表面坏死和渗液,血CD4计数364个/μL;CD4/CD8比值0.15。例1血RPR 1∶128(+),例2血RPR 1∶32(+),例1和例2血TPPA、抗HIV抗体初筛及确诊试验皆阳性,均诊断为二期梅毒和HIV感染,予苄星青霉素治疗后皮疹已消退。
Example 1 male, 28 years old. Torso and limbs erythema with itching 2 months, eyebrows shed 1 month. Examination of the bilateral eyebrows see all shedding, the back scattered in the distribution of soybeans to peanut red rash, right thigh and double leg extensor see about ten diameter 1 ~ 4cm round red rash, boundary clear, a little infiltration, the average Cover white scales, blood CD4 count 520 / μL, CD4 / CD8 ratio of 1.1. Example 2 male, 56 years old. Whole body rash 2 months. The neck and bilateral groin see several painless enlarged lymph nodes, facial, trunk and limbs intensively distributed soybeans to broad beans dark red infiltrative papules, plaques and nodules, part of the surface ulceration and necrosis, the right lower leg ankle Flexion see 3.0cm × 2.0cm large ulcers, surface necrosis and exudate, blood CD4 count 364 / μL; CD4 / CD8 ratio of 0.15. Example 1 Blood RPR 1:128 (+), Example 2 Blood RPR 1:32 (+), Example 1 and Example 2 Blood TPPA, anti-HIV antibody screening and diagnostic tests were positive, were diagnosed with secondary syphilis and HIV infection , To benzathine penicillin skin rash has subsided.