Syphilis mimicking Reiter's syndrome in an HIV-positive patient

被引:19
作者
Kishimoto, Mitsumasa
Lee, Maryann J.
Mor, Adam
Abeles, Aryeh M.
Solomon, Gary
Pillinger, Michael H.
机构
[1] NYU, Hosp Joint Dis, Sch Med, Dept Rheumatol, New York, NY 10016 USA
[2] Juntendo Univ, Dept Publ Hlth, Tokyo 113, Japan
[3] Univ Med & Dent New Jersey, Dept Med, New Brunswick, NJ USA
[4] Vet Adm New York Harbor Healthcare Syst, Dept Med, New York, NY USA
关键词
syphilis; Reiter syndrome; HIV; uveitis; keratoderma;
D O I
10.1097/00000441-200608000-00008
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 38-year-old man with HIV infection presented with panuveitis, urethritis, and a papulosquamous eruption on his palms and soles. Careful physical and laboratory examination led to the diagnosis of syphilitic keratoderma, uveitis, and balanitis. The patient was successfully treated with penicillin and prednisone therapy. Because the initial presentation was difficult to distinguish from the symptoms of Reiter's syndrome, a high degree of clinical suspicion was required to accurately diagnose syphilis, a curable and potentially fatal disease.
引用
收藏
页码:90 / 92
页数:3
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