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目的 探讨及报告女童巨大硬下疳1例。方法 以临床表现及暗视野显微镜检查和梅毒血清学检测予以确诊。结果 皮损部位压取组织液涂片用暗视野显微镜检查,找到苍白螺旋体。血清反应素环卡试验(RPR)阳性(卅)滴度1:64。梅毒螺旋体血球凝集试验(TPPA)滴度1:80。结论 诊断为一期梅毒,巨大硬下疳。并按卫生部“性病防治手册”对其进行治疗。1个月后皮损消退完全。
Objective To study and report 1 case of girl’s huge scabies. Methods The clinical manifestations and dark field microscopy and syphilis serological tests to be diagnosed. Results skin lesions pressed tissue fluid smear with dark field microscopy, to find pale spirochetes. Serum responsin loop card test (RPR) positive (卅) titers 1:64. Treponema pallidum hemagglutination test (TPPA) titer 1:80. Conclusion The diagnosis of a syphilis, a huge scabies. According to the Ministry of Health, “STD Prevention and Treatment Manual” for its treatment. 1 month after the skin lesions subsided completely.