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患者女,43岁。上腹部红色皮损伴发轻度瘙痒4月余。查体:上腹泛发红色斑疹、斑片、斑丘疹及丘疹,部分皮损呈拱形或半环形排列。血TRUST 1∶16(+),TPPA(+)。皮损组织病理示∶真皮大量淋巴细胞浸润,散在浆细胞和组织细胞浸润,部分淋巴细胞异型性改变,表皮少数淋巴细胞浸润。诊断为二期梅毒。苄星青霉素治疗后皮损显著好转。
Female patient, 43 years old. Upper abdomen with red lesions associated mild itching more than 4 months. Physical examination: upper abdominal pancrease red patches, patches, rash and papules, some lesions were arched or semi-circular arrangement. Blood TRUST 1:16 (+), TPPA (+). Skin lesions showed: a large number of dermal infiltration of lymphocytes, scattered in plasma cells and tissue infiltration, atypia of some lymphocytes, epidermal infiltration of a small number of lymphocytes. Diagnosed as two syphilis. Benzathine penicillin skin lesions significantly improved after treatment.