■三级梅毒,神经系统疾病的晚期形式,皮肤,和心血管表现,在现代美国很少见。也被称为“伟大的模仿者”,“梅毒倾向于模仿其他疾病过程,这可能会导致延误正确的诊断和治疗。
■我们介绍了一个59岁女性的案例,她提出评估可能的外阴鳞状细胞癌。经过多次不确定的活检和与多个提供者的广泛检查,相反,她被发现患有皮肤和神经系统三级梅毒。由于该患者的表现与经典教导不一致并且由于缺乏获得护理的机会,因此该患者的正确诊断被延迟。
■梅毒具有特征性的体征和症状,但在实践中,它可以有一个懒惰的演示文稿,可能不同于传统的演示文稿。据我们所知,这是首例假扮为外阴鳞状细胞癌的外阴皮肤梅毒的综合报道。此病例还为绝经后人群和农村社区的全面妇科护理和性生活史的必要性提供了更多证据。
UNASSIGNED: Tertiary syphilis, a late form of the disease with neurologic, cutaneous, and cardiovascular manifestations, is rarely seen in the United States in modern times. Also called the \"great imitator,\" syphilis tends to mimic other disease processes, which can lead to a delay in proper diagnosis and treatment.
UNASSIGNED: We present the
case of a 59-year-old woman who presented for evaluation of possible squamous cell carcinoma of the vulva. After multiple inconclusive biopsies and extensive workup with multiple providers, she was instead found to have cutaneous and neurologic tertiary syphilis. A correct diagnosis was delayed in this patient due to a presentation not consistent with classical teachings and due to a lack of access to care.
UNASSIGNED: Syphilis has characteristic signs and symptoms, but in practice, it can have an indolent presentation that may differ from traditional presentations. To our knowledge, this is the first comprehensive
case report of vulvar cutaneous syphilis masquerading as squamous cell carcinoma of the vulva. This
case also provides additional evidence for the necessity of comprehensive gynecologic care and sexual history-taking in the post-menopausal populations and in rural communities.