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患者男,32岁。阴囊肥厚性斑丘疹伴瘙痒3个月。阴囊密集分布灰褐色肥厚性斑丘疹,呈椭圆形或多角形,直径0.3~1.0cm,灰褐色,上覆皮屑,界清,表面干燥,质硬。双侧腹股沟及大腿内侧见白斑和皮屑。阴茎根部近系带旁糜烂和渗液。有不洁性行为史,渗出液在暗视野显微镜下可见活动梅毒螺旋体,RPR(1:32),TPPA(+),HIV确证实验(+),CD4~+/CD8~+:0.43。诊断:二期梅毒;HIV感染。予苄星青霉素治疗后斑丘疹已消退。
Male patient, 32 years old. Scrotal hypertrophic rash with itching 3 months. Scrotal dense distribution of taupe hypertrophy rash, oval or polygonal, diameter 0.3 ~ 1.0cm, taupe, over the dander, boundary clear, dry surface, hard. Bilateral groin and thigh see the white spot and dander. Penile roots near laceration and exudate. There was a history of unclean sexual behavior. Exudate was found to be active Treponema pallidum under the dark field microscope. RPR (1:32), TPPA (+), HIV confirmatory test (+), CD4 ~ + / CD8 +: 0.43. Diagnosis: secondary syphilis; HIV infection. Macular rash has subsided after benzathine penicillin treatment.