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Japanese

Gastrointestinal Syphilis Hiroyuki Kobayashi 1 , Tadahiko Fuchigami 1 1Institute of Gastroenterology, Matsuyama Red Cross Hospital Keyword: 早期梅毒 , 胃梅毒 , 直腸梅毒 , 消化管粘膜疹 , 梅毒性胃腸炎 pp.379-384
Published Date 2002/2/26
DOI https://doi.org/10.11477/mf.1403103461
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 We discuss the clinical features in patients with the gastrointestinal syphilis. The morphologic findings of secondary gastric syphilis are those of multiple irregular, shallow, antral ulcers with associated edema and hemorrhage. In addition, if there are multiple large verruciform lesions which resemble syphilitic skin lesions, in the gastric body, they are valuable for the diagnosis of secondary gastric syphilis. On the other hand, syphilitic proctitis which is one of the common diseases among homosexual men in the United States is rare in Japan. Most of the endoscopic findings reported as single or multiple irregular ulcerated lesions are different from our cases, in which proctoscopy showed a large verruciform lesion coexisting with secondary gastric syphilis. We considered that these reported cases of syphilitic proctitis were not secondary syphilitic lesions but primary lesions caused by proctogenital sexual contact.


Copyright © 2002, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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