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Case Reports Radiology case reports. 2022 Nov 7;18(1):280-284. doi: 10.1016/j.radcr.2022.10.045 0.02024

Primary syphilis presenting as a painful unilateral inguinal lymphadenopathy, without cutaneous manifestations, in a 71-year-old Japanese man: A case report

一名71岁日本男性患者以单侧腹股沟淋巴结疼痛为特征的 primary syphilis(梅毒一期)且无皮肤表现的一例报告 翻译改进

Kenji Yorita  1, Chikane Ito  1  2, Ai Fujioka  3, Keisuke Kashiwagi  4, Hiromichi Yamai  5, Kimiko Nakatani  6, Tatsuya Kumon  7

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作者单位

  • 1 Department of Diagnostic Pathology, Japanese Red Cross Kochi Hospital, 1-4-63-11 Hadaminamimachi, Kochi-shi, Kochi 780-8562, Japan.
  • 2 Department of Dermatology, Kochi Medical School, Kochi University, Kohasu, Oko-cho, Nankoku-shi, Kochi 783-8505, Japan.
  • 3 Department of Dermatology, Japanese Red Cross Kochi Hospital, 1-4-63-11 Hadaminamimachi, Kochi-shi, Kochi 780-8562, Japan.
  • 4 Department of Plastic Surgery, Japanese Red Cross Kochi Hospital, 1-4-63-11 Hadaminamimachi, Kochi-shi, Kochi 780-8562, Japan.
  • 5 Department of Surgery, Japanese Red Cross Kochi Hospital, 1-4-63-11 Hadaminamimachi, Kochi-shi, Kochi 780-8562, Japan.
  • 6 Department of Radiology, Japanese Red Cross Kochi Hospital, 1-4-63-11 Hadaminamimachi, Kochi-shi, Kochi 780-8562, Japan.
  • 7 Department of Surgery, Noichi Central Hospital, 555-18 Higashino, Noichi-cho, Konan-shi, Kochi 781-5213, Japan.
  • DOI: 10.1016/j.radcr.2022.10.045 PMID: 36388614

    摘要 Ai翻译

    Syphilitic infection is usually observed in young patients, and the first stage of the disease (primary syphilis) is characterized by painless cutaneous and lymph node lesions. Herein, we describe a 71-year-old Japanese man with primary syphilis that presented as unilateral inguinal lymphadenopathy without skin lesions. Originally, an incarcerated hernia was clinically suspected. The lymph node pathologically showed suppurative lymphadenitis with vague granulomas; immunohistochemistry was highly suggestive of a syphilitic infection. Primary syphilis was confirmed by positive serological tests. Syphilitic infection should be included in the clinicopathological differential diagnoses for patients with inguinal lymphadenopathy, even in elderly patients without skin lesions.

    Keywords: Differential diagnosis; Inguinal hernia; Lymphadenitis; Lymphadenopathy; Pathology; Syphilis.

    Keywords:primary syphilis; inguinal lymphadenopathy; case report

    Copyright © Radiology case reports. 中文内容为AI机器翻译,仅供参考!

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    期刊名:Radiology case reports

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    ISSN:1930-0433

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    Primary syphilis presenting as a painful unilateral inguinal lymphadenopathy, without cutaneous manifestations, in a 71-year-old Japanese man: A case report