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目的总结误诊的二期梅毒的临床特点,探究误诊原因。方法对临床误诊的46例二期梅毒患者进行病史采集、体检、实验室检查,分析并总结误诊情况及原因。结果二期梅毒的皮疹具有多形性,容易误诊为玫瑰糠疹、银屑病、手足癣、湿疹等多种疾病。结论二期梅毒误诊的原因多方面,病史、临床表现结合梅毒血清试验可以明确诊断,减少误诊的发生。
Objective To summarize the clinical features of misdiagnosed secondary syphilis and explore the causes of misdiagnosis. Methods 46 cases of misdiagnosed patients with secondary syphilis history collection, physical examination, laboratory tests, analysis and summary of misdiagnosis and causes. Second stage syphilis rash with pleomorphism easily misdiagnosed as pityriasis rosea, psoriasis, hand, foot and ringworm, eczema and other diseases. Conclusion There are many reasons for the misdiagnosis of secondary syphilis, history and clinical manifestations combined with syphilis serum test can confirm the diagnosis and reduce the occurrence of misdiagnosis.