AIDS在男性生殖器的常见表现

Genital manifestations in male patients with AIDS

回顾性分析了1994～1996年在莫桑比克马布托中心医院确诊的274例人类免疫缺陷病毒（HIV）感染的男性患者临床资料，发现13例（约4．7％）患者具有生殖器病变，包括阴茎KaPosi肉瘤、阴茎尿道恶性淋巴瘤、睾丸肿瘤、睾丸弓形体病、睾丸萎缩、特发性阴囊坏疽等，其中4例（30．8％）是以生殖器病变为首发表现。认为男性生殖器罕见恶性肿瘤、机会性病原体感染是诊断HIV感染和获得性免疫缺乏综合征（AIDS）的重要线索，临床医师对此应有充分认识。

To understand the genital manifestations of AIDS,we retrospectively studied the male patients with AIDS treated in central hospital of Mozambique from 1994 to 1996 of the 274 cases, 13 (4. 7% ) were presented with genital diseases, such as penile kaposi's sarcoma, uretrhal malignancies, testicular tumor, testicular atrophy, testicular tosoplasmosis,and fournier's gangrene.In 4 cases (30. 8%), the genital presentations were initial. We believed that the uncommon urogenital malignancies and specific infections were important clues for the diagnosis of AIDS.