先后误诊为湿疹、皮肤结核的艾滋病1例

患者男,34岁。左侧眶周、右侧口角出现红斑、糜烂、渗出3个月,全身可见散在的丘疹、色素沉着等湿疹样皮损。于门诊先后诊断为"湿疹"、"皮肤结核",治疗效果欠佳。入院后发现多系统机会性感染及心包积液、肝脾肿大等系统症状,承认有不洁性交史。血清抗HIV抗体确证试验阳性。提示当出现不典型皮肤症状或常见皮肤病的异常表现时,应详细询问病史并行相应检查,以排除误诊、漏诊。

A Case of AIDS Misdiagnosed as Eczema and Cutaneous Tuberculosis Successively

A 34-year-old male had suffered erythema,erosion and effusion around the rim of left eye and right angle of mouth for 3 months,and discrete eczematoid lesions like papules and pigmentation over the whole body.He was diagnosed as eczema and tuberculoderma successively in outpatient,and the treatments were unsatisfactory.Systematic symptoms like multiple system opportunistic infection,hydropericardium and hepatolienomegaly were observed after admission.A history of unclean coitus was admitted.The confirmatory test of anti-HIV antibody in serum showed a positive result.When it comes to uncharacteristic skin symptoms or novel presentations of common dermatoses,detailed history and relevant examinations should be performed to avoid misdiagnosis and missed diagnosis.