【摘 要】 目的:分析研究男性梅毒的误诊情况及原因。方法:选择近年资料完整的35例男性患者，分析研究其病史、临床表现、实验室检查及治疗经过；对首诊误诊的15例梅毒进行了误诊分析。结果:一期梅毒男性易误诊为生殖器疱疹、疥疮结节等；二期梅毒斑疹及斑丘疹皮损易误诊为过敏性皮炎、玫瑰糠疹等；鳞屑性丘疹易误诊为银屑病；扁平湿疣易误诊为尖锐湿疣等。结论：病史、临床表现和快速血浆反应素环状长片试验(RPR)可以快速准确地诊断一、二期梅毒，青霉素(或头孢类抗生素)疗效最可靠。

 【关键词】 男性梅毒； 误诊； 临床分析

 Analysis on misdiagnosis of male syphilis

 MU Yongfei, LIU Haihua

 Erketuo Hospital, Innermongolia 016200, China

 【Abstract】 Objectives: To analyze the causes of misdiagnosis on male syphilis. Methods: The clinical data of 35 male patients were collected to analyze their history, clinical manifestation, laboratory exam results and treatments. Results: Phase I syphilis is likely to be misdiagnosed as genital herpes; Phase II syphilis and scabies node tends to be misdiagnosed as atopic dermatosis and pityriasis rosea, papulosquamous syphilide as pustulosa psoriasis and condyloma latum as condyloma acuminatum. Conclusion: Patient’s history, clinical manifestation and RPR test can quickly and accurately diagnose phase I and II syphilis. Penicillin has reliable curative effects. ......
 百拇医药网 http://www.100md.com/html/paper/1672-1993/2011/01/10.htm
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