中国麻风皮肤病杂志 ›› 2022, Vol. 38 ›› Issue (9): 638-639.doi: 10.12144/zgmfskin202209638

• 病例报告 • 上一篇    下一篇

发生在早期梅毒的脑部树胶肿一例

李爱莉,孙培宏,冯莉,孙杰   

  1. 大连市皮肤病医院，辽宁大连，116000
  • 出版日期:2022-09-15 发布日期:2022-07-13

Cerebral gelatoma in early syphilis: a case report

LI Aili, SUN Peihong, FENG Li, SUN Jie   

  1. Dalian Dermatology Hospital, Dalian 116021, China
  • Online:2022-09-15 Published:2022-07-13

PDF (PC)

159

摘要： 患者,女，50岁。梅毒病史17个月，阵发性头疼4个月。17个月前患者确诊“一期梅毒”，正规治疗并定期复查，快速血浆反应素试验(RPR)滴度下降4倍，皮疹消退。10个月前躯干、四肢出现鳞屑性红斑，掌跖部亦有类似皮疹，RPR滴度上升，梅毒复发，再次治疗后皮疹消退。4个月前出现阵发性头疼，后于外院神经外科住院，查头部核磁共振成像为右侧肿块，考虑为转移性肿瘤。给予手术治疗，术后组织病理为梅毒树胶肿，头痛症状消失，遂于我院性病科进行梅毒治疗及随访。

关键词: 早期梅毒, 树胶肿

Abstract: The 50-year-old female patient had a history of syphilis for 17 months and paroxysmal headaches for 4 months. Seventeen months ago, the patient was diagnosed as primary syphilis, and received regular treatment and regular visit. The RPR titer decreased by 4 times and the rash subsided for 6-month treatment. Ten months ago, syphilis recurred, and given the regular treatment, the rash subsided after treatment again. Four months ago, he occurred paroxysmal headache, and MRI showed a mass on the right side of head, which was considered as a metastatic tumor. The patient was treated with surgery and the histological examination showed syphilitic gumma. Headache disappeared then the patient was given antisyphilitic treatment.

Key words: early syphilis, gumma