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目的通过报道一例误诊为结缔组织病的梅毒患者的完整病例资料,提高对该病的警惕和认识。方法回顾性分析一例诊断明确梅毒患者的临床表现、体格检查、影像学资料和生化指标。复习文献总结误诊经验,提高对不典型梅毒认识。结果患者在皮肤性病科治疗,随诊1个月内患者未再发热,口腔溃疡愈合。结论梅毒是由苍白螺旋体引起的一种慢性传染病,临床表现复杂,可合并多系统损害,某些临床表现与结缔组织病表现极为相似,加上一些社会因素,容易造成误诊。
Objective To improve the awareness of this disease by reporting the complete case data of a case of syphilis misdiagnosed as connective tissue disease. Methods The clinical manifestations, physical examination, imaging data and biochemical indexes of a patient with definite diagnosis of syphilis were retrospectively analyzed. Review the literature summarizes the experience of misdiagnosis, raise awareness of atypical syphilis. Results Patients in dermatology treatment, followed up for 1 month in patients with no fever, oral ulcer healing. Conclusion Syphilis is a chronic infectious disease caused by Pallidum spirochaete. Its clinical manifestations are complicated and may cause multiple system damages. Some clinical manifestations are very similar to those of connective tissue diseases. Coupled with some social factors, it is easy to cause misdiagnosis.