JAMA Dermatology ( IF 11.5 ) Pub Date : 2018-01-01 , DOI: 10.1001/jamadermatol.2017.3958 Yi Gao 1 , Kenneth A. Katz 2
Incidence of primary and secondary syphilis in the United States nearly quadrupled from 2000, when 5979 cases were reported, to 2015, when 23 872 cases were reported.1 This syphilis epidemic has disproportionately affected men who have sex with men (MSM), who accounted for nearly 60% of cases in 2015.1 Public health efforts to prevent and control syphilis among MSM focus on ensuring early diagnosis and prompt treatment of infected patients and their sex partners.2 We describe a patient with an evolving clinical and serologic presentation of penile sores, ultimately leading to diagnosis of and treatment for primary syphilis.
中文翻译:
与男性发生性关系的男性多发性阴囊干的临床和血清学演变
从2000年报告的5979例病例到2015年报告的23872例病例,美国原发性和继发性梅毒的发病率几乎翻了三倍。1这种梅毒流行对与男性发生性关系的男性(MSM)的影响不成比例,2015年占男性病例的近60%。1在MSM中,预防和控制梅毒的公共卫生工作侧重于确保对感染患者的早期诊断和及时治疗和他们的性伴侣。2我们描述了一个不断发展的阴茎疮临床和血清学表现,最终导致对梅毒的诊断和治疗的患者。