Syphilis and Social Upheaval in China

/pdf/dermatology-eponyms-sign-lexicon-h-3fbfvs1sd9.pdf

Dermatology Eponyms – sign –Lexicon (H)

Eponyms are used almost daily in the clinical practice of dermatology. And yet, information about the person behind the eponyms is difficult to find. Indeed, who is? What is this person’s nationality? Is this person alive or dead? How can one find the paper in which this person first described the disease? Eponyms are used to describe not only disease, but also clinical signs, surgical procedures, staining techniques, pharmacological formulations, and even pieces of equipment. In this article we present the symptoms starting with (J) and other. The symptoms and their synonyms, and those who have described this symptom or phenomenon.

/pdf/dermatology-eponyms-sign-lexicon-j-4hirl0syuk.pdf

Dermatology eponyms - sign - lexicon - (j)

Diagnostic Imaging of Child Abuse: Differential diagnosis I: diseases, dysplasias, and syndromes

A 22-year-old pregnant woman with an intravenous drug abuse habit delivered a girl in the 26th gestational week with a fetal length and weight of 38 cm/990 g (pc. 75-91). She did not participate in prenatal care that included screening for congenital diseases, syphilis, and human immunodeficiency virus (HIV) infection during the pregnancy. Laboratory examinations revealed positive rapid plasma reagin (RPR) (1:128), Treponema pallidum particle agglutination assay (TPPA) and TpELISA results. Immediately before delivery, labial herpes simplex virus-1 (HSV-1), Streptococcus agalactiae, and genital yeast infections were detected. Hepatitis B surface antigen (HbsAG), HIV, and hepatitis C virus (HCV) serology remained negative. The preterm and immature newborn girl had mild jaundice, minimal edema, and gluteal hematomas with petechiae. The liver and spleen were extremely enlarged (reaching the plevic bones). Increased muscle tone and rigid elbow, knee, and hip joints were found (Figures 1, 2). Additionally, X-ray examination detected multiple jejunal atresia. Brainstem evoked response audiometry ruled out hearing loss. In laboratory investigations anisocytosis, thrombocytopenia, elevated liver enzymes (ASAT: 3850 U/L, ALAT: 558 U/L, GGT: 292 U/L, ALP: 436 U/L), elevated lactate dehydrogenase (LDH) (38180 mmol/L), and creatinine kinase (CK) (7.1 U/L) with elevated bilirubin levels (87.9 μmol/L) were found. In microbiology investigations a high CMV virus number was detected using a quantitative real-time polymerase chain reaction (PCR) method from the urine and blood. Syphilis serology was positive (RPR: 1:16 positive, TPPA, TpELISA, and T. pallidum IgM immunoblot positive). HSV PCR (in the oral mucosa, conjunctiva, and blood) remained negative.

/pdf/coexistence-of-congenital-syphilis-and-cytomegalovirus-4gmk09thi4.pdf

Coexistence of congenital syphilis and cytomegalovirus infection: a case report.

Background: The early clinical manifestations of congenital syphilis (CS) vary from asymptomatic to florid lesions, involving multisystem damage. But little is known about the differences of early clinical features between preterm and term neonates with CS. Objectives: To compare the clinical characteristics between preterm and term neonates with CS and analyze the possible underlying reasons for the differences. Methods: Consecutive medical charts of infants at risk for CS from January 1999 to December 2009 were retrospectively reviewed. Neonates with positive 19S-IgM in serum were included in the study. Results: Among the 1,670 cases at risk for CS, 130 neonatal cases with positive 19S-IgM in serum were included in the analysis, including 58 preterm ones and 72 full-term ones. Compared with term neonates with CS, preterm ones were more likely to have characteristic skin rash (36.2 vs. 9.7%, p Conclusions: Preterm neonates with CS had more clinical evidences and suffered more than term ones.

A case series of 130 neonates with congenital syphilis: preterm neonates had more clinical evidences of infection than term neonates.

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A case series of 130 neonates with congenital syphilis: preterm neonates had more clinical evidences of infection than term neonates.