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Stomach and Intestine(Tokyo) Volume 3, Issue 2 （February 1968）

胃と腸 3巻2号（1968年2月発行）

Japanese English

今月の主題胃集団検診と早期胃癌

症例

Gastric Lesions Associated with Secondary Syphilis; a case suspected of gastric sarcoma by X-ray and endoscope Gastric Lesions Associated with Secondary Syphilis; a case suspected of gastric sarcoma by X-ray and endoscope 丸山雅一 ¹ , 早川尚夫 ¹ , 西沢護 ¹ , 狩谷淳 ¹ Masakazu Maruyama ¹ , Hisao Hayakawa ¹ , Mamoru Nishizawa ¹ , Atsushi Kariya ¹ ¹The 1st Department of Internal Medicine, School of Medicine Chiba University ¹The 1st Department of Internal Medicine, School of Medicine Chiba University pp.195-202

発行日 1968年2月25日 Published Date 1968/2/25

DOI https://doi.org/10.11477/mf.1403110648

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Abstract 文献概要
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サイト内被引用 Cited by

Although numerous cases have been diagnosed as tertiary syphilis of the stomach, as judged from the reports in the world literature, gastric involvement of secondary syphilis is said to be extremely rare. The present paper concerns a patient who was initially diagnosed as gastric sarcoma by X-ray and gastrofiberscope, and who was eventually confirmed to have secondary gastric syphilis by direct-vision gastrofiberscopic biopsy.

　(1) A case of gastric involvement associated with secondary syphilis was presented.

　(2) X-ray and gastrofiberscopic examination initially revealed questionable findings of gastric sarcoma, but direct-vision gastrofiberscopic biopsy eventually disclosed characteristic findings of secondary syphilis with plasma cell infiltration in the submucosa of the stomach.

　(3) Gastric lesions disappeared almost completely after treatment.

　(4) Our observation appears to form the basis for the concepts of “visceral roseola”, as Rudneiff observed, at autopsy, syphilitic lesions of the gastric mucosa in a patient who died during the secondary stage of syphilis.

　(Great thanks are to our teacher Dr. hikoo Shirakabe, Associate Professor of The 1st Department of Internal Medicine, School of Medicine, Chiba University, who gabe a opportunity to present the paper and useful advice to us.)