混合型,原发性梅毒性脱发,葡萄膜炎和乳头炎在免疫功能正常的神经梅毒患者。

IF 1.3 Q2 DERMATOLOGY
Sumeetha Swaminathan, Irina Lerman, Kathleen Mannava, Luca Zatreanu, Anna De Benedetto
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引用次数: 0

摘要

梅毒性脱发(SA)和眼梅毒(OS)是梅毒的罕见表现,通常在免疫功能低下的患者中同时报道。我们报告一个独特的混合模式,必要的,头皮SA和OS的形式前葡萄膜炎在其他免疫能力,hiv阴性,46岁的女性。简而言之,患者最初表现为突发性头皮脱发,最初诊断为非典型斑秃,但对典型的斑秃定向治疗无效。同时,患者出现眼部和神经系统症状,根据临床表现和脑脊液/血清学检测,诊断为梅毒。以梅毒为导向的治疗结果是眼部和神经系统症状的逆转,以及头皮毛发的快速再生。本病例强调了在非典型脱发鉴别诊断中考虑梅毒诊断的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mixed-pattern, essential syphilitic alopecia, uveitis, and papillitis in an immunocompetent patient with neurosyphilis.

Syphilitic alopecia (SA) and ocular syphilis (OS) are rare manifestations of syphilis, typically reported together in immunocompromised patients. We present a unique case of mixed-pattern, essential, SA of the scalp and OS in the form of anterior uveitis in an otherwise immunocompetent, HIV-negative, 46-year-old female. Briefly, the patient initially presented with sudden-onset scalp hair loss that was initially diagnosed as atypical alopecia areata but failed to respond to typical alopecia areata-directed therapy. Concurrently, the patient developed ocular and neurologic symptoms, and the diagnosis of syphilis was rendered based on the constellation of clinical findings and cerebrospinal fluid/serologic testing. Syphilis-directed therapy resulted in the reversal of ocular and neurologic symptoms, as well as rapid scalp hair regrowth. This case highlights the importance of considering diagnosis of syphilis in the differential diagnosis for atypical alopecia.

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来源期刊
Dermatology Reports
Dermatology Reports DERMATOLOGY-
CiteScore
1.40
自引率
0.00%
发文量
74
审稿时长
10 weeks
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