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以便血为首发症状的直肠硬下疳1例
引用本文:李俊峰,李鑫,刘杰,马俊平,李越,郭宏峰.以便血为首发症状的直肠硬下疳1例[J].中国皮肤性病学杂志,2012,26(5):423.
作者姓名:李俊峰  李鑫  刘杰  马俊平  李越  郭宏峰
作者单位:1. 河北省衡水市第二人民医院皮肤科,河北衡水,053000
2. 北京平谷区医院皮肤科,北京,101200
摘    要:患者男,36岁,已婚。大便带血20天。肛门镜检查发现单个、无痛性溃疡;化验RPR1:64,TPHA(+);3年前开始发生同性性行为,40天前有明确的肛交史。诊断:一期梅毒,直肠硬下疳。予苄星青霉素治疗,随访中。

关 键 词:便血  直肠  硬下疳  一期梅毒

A Case of Rectum Ulcerating Sclerosis with Bloody Stool as Intial Symptom
LI Jun-feng , LI Xin , LIU Jie , MA Jun-ping , LI Yue , GUO Hong-feng.A Case of Rectum Ulcerating Sclerosis with Bloody Stool as Intial Symptom[J].The Chinese Journal of Dermatovenereology,2012,26(5):423.
Authors:LI Jun-feng  LI Xin  LIU Jie  MA Jun-ping  LI Yue  GUO Hong-feng
Affiliation:1(1. Department of Dermatology, the Second Hospital of Hengshui, Hengshui 053000, China; 2. Department of Dermatology, Pinggu District Hospital, Beijng 101200, China)
Abstract:A 36-year-old presented with bloody stool for 20 days. Anoscopy showed ulcer on left-side of anal canal. Rapid plasma reagent(RPR) was positive in 1:64 dilutions and treponema pallidum hemagglutination assay(TPHA) was positive. The patient was homosexual for 3 years and had anal sex 40 days before. A diagnosis of rectum ulcerating sclerosis was established.
Keywords:Bloody stool  Rectum  Ulcerating sclerosis  Primary syphilis
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