论文部分内容阅读
患者男,43岁,系男男同性恋者,确诊为艾滋病并予高效抗逆转录病毒治疗(HAART)1年余。患者双手掌及双足跖丘疹、斑块、鳞屑伴瘙痒3个月。TPPA(+),TRUST(-)。皮损组织病理:真皮浅深层血管扩张,管周见淋巴细胞、组织细胞及浆细胞浸润。予苄星青霉素驱梅治疗后出现吉海反应,3个月后复查皮疹消退,但TRUST试验由阴性转为阳性(1∶1),加倍剂量驱梅治疗,24个月随访,查TPPA(+),TRUST(-),皮损无复发。诊断:①艾滋病;②二期梅毒。
The male patient, 43 years old, was gay, gay and male, diagnosed with AIDS and treated with highly active antiretroviral therapy (HAART) for more than 1 year. Patients with palmar and bipolar plantar papules, plaques, scales with itching 3 months. TPPA (+), TRUST (-). Pathological lesions: shallow dermal dilatation of blood vessels, see the week of lymphocytes, tissue cells and plasma cell infiltration. After 3 months, the skin rash disappeared, but the TRUST test turned from negative to positive (1: 1), doubling the dose of flooding treatment, 24 months follow-up, check TPPA (+) , TRUST (-), no recurrence of skin lesions. Diagnosis: ① AIDS; ② two syphilis.