first pharyngeal mucosa of 11 cases of secondary syphilis（二期梅毒的第一咽粘膜的11例）.docVIP

First pharyngeal mucosa of 11 cases of secondary syphilis Author: Chung Li Bin Fang Yan Qu Rui strong Syphilis is caused by the Treponema pallidum sexually transmitted disease, and its occurrence and development on the skin and mucous membranes, or even caused by a variety of tissues and organs would be hurt. Syphilis occurs in the skin are not uncommon, but not only damage the throat mucosa lesions associated with systemic manifestations as the first cases are rare, because of the lack of appropriate symptoms often easily missed and misdiagnosed. Now January 2009 to 2010 In December, the clinical to the throat and mucous membrane damage as the initial presentation of the diagnosis and treatment of 11 cases reported as follows. Clinical data 1.1 11 patients, seven men, four women, aged 38 to 64 years, mean age 49 years, all patients were due to throat discomfort, micro-pain, no fever and treatment, duration of 2 to 8 weeks, respectively. Misdiagnosed as ‘pharyngitis’ in 4 cases, misdiagnosed as ‘angina’, 3 cases misdiagnosed as ‘purulent tonsillitis,’ four cases were treated with .11 patients had a history of 1 to 5 times the referral, the application of cephalosporin antibiotics, medicine other treatment, the symptoms were not significantly improved. 1.2 Inspection 10 patients showed pharyngeal isthmus (tonsil and tongue palatal mucosal surface light gray, irregular, slightly higher mucosal surface patches of different sizes, one patient similar lesions in the hard, soft palate at the junction of mucous membranes. No skin , other lesions outside the genital mucosa. 1.3 Laboratory tests Five patients who were normal for the blood test. Rapid plasma reagin card test ring (RPR) 11 例 were positive, eight cases of patients with titers of 1:64 titer 1:128,3. Treponema pallidum hemagglutination test (TPPA) 11 cases were positive. HIV were negative. 1.4 Asked history 9 patients with history of sexual contact with contaminated pati