Ⅱ期神经梅毒伴噬血细胞综合征1例
摘要
1 临床资料
患者男,79岁。1个半月前患者无明显诱因出现后枕部持续性钝痛,伴乏力,全身皮肤散在分布米粒至蚕豆大脓疮及褐色痂皮,阴茎水肿。口服止痛药(具体不详),无效。两次行头颅磁共振检查均未见异常。本科门诊以“贫血原因待查”收入院。发病前1年有冶游史。体检:双侧腹股沟可触及3个蚕豆大淋巴结,活动度可,质韧,表面光滑,余系统检查未见异常。
出处
《中国皮肤性病学杂志》
CAS
北大核心
2011年第5期402-402,共1页
The Chinese Journal of Dermatovenereology
参考文献3
-
1Holems KK, Mardh PA, Sparling PE, et al. Sexually transmitted disease [ M ]. 2 nded. New York : Mc Craw-Hill, 1990 : 231 - 245.
-
2施辛,张秉正,包仕尧,黄强.神经梅毒的临床特征与处理(二)[J].中国皮肤性病学杂志,2001,15(4):280-282. 被引量:52
-
3Castro R,Prieto ES. Nontrepone-real tests in the diagnosis of neurosyphilis : an evaluation of the Venereal Disease Research Laborator (VDRL) and the Rapid Plasma Reagin (RPR) tests [ J ]. J Clin LalAnal,2008,22 (4) :257 -261.
二级参考文献14
-
1[1]Zifko U, Wimberger D, Lindner K, et al.MRI in patients with general paresis[J].Neuroradiology, 1996,38:120~123
-
2[2]Lapunzina PD, Altcheh LM, Flichman JC,et al. Neurosyphilis in an eight-year-old child: usefulness of the SPECT study [J].Pediatr Neurol, 1998,18:81~84
-
3[3]Villanueva AV, Podzorski RP, Reyes MP.Effects of various handling and storage conditions on stability of treponema pallidum DNA in cerebrospinal fluid [J]. J Clin Microbiol, 1998,36: 2117~2119
-
4[4]Luger AF, Schmidt BL, Kaulich M. Significance of laboratory findings for the diagnosis of neurosyphilis[J]. Int J STD AIDS,2000,11:224~234
-
5[5]Bharwani IL, Hershey CO. The eldly psychiatric patients with possitive syphilis serology: the problem of neurosyphilis [J].Int J Psychiatry Med, 1998,28:333~339
-
6[6]Silber E, Sonnenberg P, Koomhof HJ, et al. Dual infective pathology in patients with cryptococcal meningtitis [J ]. Neurology,1998,51: 1213~1215
-
7[7]De Maria A, Solaro C, Abbruzzese M, et al.Minocycline for symptomatic neurosyphilisin patients allergic to penicillin[J]. N Engl J Med, 1997,337:1322~1323
-
8[8]Gentile JH, Viviani C, Sparo MD, et al.Syphilitic Meningomyelitis treated with cetriaxone: case report[J]. Clin Infect Dis,1998, 26:528
-
9[9]Matra CM,Boutin P,McArthur JC, et al.A pilot study evaluating ceftriaxone and penicillin G as treatment agents for neurosyphilis in human immunodeficiency virusinfected individuals [J]. Clin Infect Dis, 2000, 30:540~544
-
10[10]Rolfs RT, Joesoef MR, Hendershot EF, et al. A randomized trial of enhanced therapy for early syphilis in patient with and without human immunodeficiency virus infection[J]. N Engl J Med, 1997,337:307~314
共引文献51
-
1蒋辉华,林琳,江毅卿.神经梅毒的临床诊断探讨[J].中国实用神经疾病杂志,2007,10(8):67-69. 被引量:13
-
2徐淑兰,张丽.16例麻痹性痴呆患者的临床分析[J].实用老年医学,2013,27(2):132-134. 被引量:8
-
3马勇.梅毒的诊断与防治[J].西部医学,2004,16(3):265-267. 被引量:7
-
4张红娟,杨健,杨文林.神经梅毒3例[J].临床皮肤科杂志,2004,33(9):556-557. 被引量:8
-
5杨文林,杨健,黄新宇,张红娟,林立,陈思华.梅毒血清固定病人的脑脊液及免疫功能检测[J].中国医师杂志,2005,7(5):644-646. 被引量:13
-
6姚龙腾,黄艮彬,陈兆樵.38例神经梅毒脑脊液检查结果分析[J].中国实用神经疾病杂志,2010,13(22):91-92. 被引量:8
-
7黄维真,宁天.先天梅毒脑脊液与血清TPPA相关性研究[J].中国妇幼保健,2005,20(24):3316-3317. 被引量:1
-
8许庆芳,赖维,陆春,朱国兴,欧风仙,杨素莲,顾有守.神经梅毒12例临床分析[J].中国皮肤性病学杂志,2006,20(3):161-162. 被引量:11
-
9尹淑杰,刘明.神经梅毒早期诊断及治疗(附3例报告)[J].临床医学,2006,26(5):83-84.
-
10孙鑫,肖新兰.神经梅毒的影像学诊断分析[J].放射学实践,2006,21(9):971-973. 被引量:8
-
1王丹,吴景良,李雪飞,陆海涛,段昕所.伴剥脱性皮炎的噬血细胞综合征一例[J].中华皮肤科杂志,2016,49(9):667-668.
-
2查旭山,范瑞强,国维.以阴茎水肿为主要表现的56例患者病因分析[J].中华皮肤科杂志,2001,34(3):174-174. 被引量:3
-
3韩凯,李莉,曾抗.瘤型麻风1例[J].临床皮肤科杂志,2012,41(10):625-625.
-
4郭霞,周晨燕,李强.结节性脂膜炎并发噬血细胞综合征1例[J].四川医学,2005,26(12):1372-1372. 被引量:1
-
5董敏,程永静,黄慈波.混合感染性噬血细胞综合征致死1例[J].中国临床保健杂志,2009,12(6):645-645.
-
6Leli` evre J.-D.,Sacre K.,Adle-Biassette H.,马慧群(译).长期应用环孢霉素A治疗银屑病引起EB病毒性淋巴增生性疾病自然消退1例[J].世界核心医学期刊文摘(皮肤病学分册),2005,0(6):15-15.
-
7刘超,韩德奎,蔡瑞康.早期先天梅毒1例[J].中国麻风皮肤病杂志,2004,20(4):407-407.
-
8董向华,贺丹.进食藜引起日光性皮炎一例[J].中华皮肤科杂志,2008,41(3):148-148. 被引量:1
-
9姜向阳.带状疱疹误诊慢性胆囊炎1例分析[J].中国误诊学杂志,2007,7(19):4571-4571. 被引量:1
-
10张守英,丁艳玲.带状疱诊误诊为阑尾炎1例[J].实用医药杂志,2006,23(8):1016-1016.