中国麻风皮肤病杂志 ›› 2021, Vol. 37 ›› Issue (8): 519-520.doi: 10.12144/zgmfskin202108519

• 临床研究 • 上一篇    下一篇

以梅毒疹和脱发为表现的幼儿获得性梅毒一例

晁青1,刘根起2,程方2   

  1. 1菏泽市立医院皮肤科，菏泽，274000；
    2菏泽医学专科学校，菏泽，274000
  • 出版日期:2021-08-15 发布日期:2021-07-20
  • 通讯作者: 晁青，E-mail: sdhzyzcq@163.com

Acquired syphilis in a 3-year-old boy presented as syphilis rash and alopecia

CHAO Qing1, LIU Genqi2, CHENG Fang2   

  1. 1 Department of Dermatology, Heze Municipal Hospital, Heze 274000, China; 
    2 Heze Medical College, Heze 274000, China
  • Online:2021-08-15 Published:2021-07-20
  • Contact: CHAO Qing, E-mail: sdhzyzcq@163.com

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摘要： 患儿，男，3岁6个月。肛周、外生殖器处红褐色斑疹、斑丘疹1月余，虫蚀状脱发1周，无自觉症状,无性接触史。梅毒血清学检查：梅毒螺旋体颗粒凝集试验（TPPA）阳性，快速血浆反应素环状卡片试验（RPR）滴度为1∶32。其父母、祖父母梅毒血清学试验阴性，外祖父母TPPA、RPR均阳性，滴度分别为1∶16和1∶64。诊断为幼儿获得性二期梅毒。

关键词: 梅毒疹, 脱发, 幼儿, 二期梅毒

Abstract: A three and a half-year-old boy suffered from reddish-brown macules and papules on his perianal and external genitalia skin for a month and worm-erosion alopecia for one week, with no conscious symptoms. Serological examination showed that treponema pallidum particle assay (TPPA) was positive, and the rapid plasma reagin test (RPR) titer was 1∶32. TPPA of his parents and grandparents was negative, while TPPA of his maternal grandparents was positive and RPR titers were 1∶16 and 1∶64, respectively. The child was diagnosed as acquired secondary syphilis.

Key words: syphilis rash, alopecia, infant, secondary syphilis