宾@r独QgBL订丑洛veē宾rOパ宾r脸臂砰]Treponemapallidum^yΘō┦C┦PVCo贺宾r脸臂砰パウcyD`灿Ab@厩L描UA螟o{Aゲ斗ノSt跌偿陪L描]darkfieldmicroscopy^~CウSxO笆戳P肩ヱ戳ユ蠢iCXG┮Τ宾rPV常Ogパ┦钡牟Aq}lBiJH砰CτgパD┦钡牟AplcずPV┪块PVh耕ぶǎC玻ePV宾riま_Ν玻AL浮いのsネㄠPVAτYvThゥ挡GC
材@戳宾r]Primarysyphilis^ㄥ材@戳Ui]Primarychancre^b┦钡牟TgX{C材@戳UiAq`パ虫@Lh┦Cl}lAIktеA┮检号娩tの┏场wてΤpn癌wCbk┦`ǎ材@戳fomblcVの潮BA┮H材@戳宾rbk┦]|Lk侩醚XㄓC
材@戳宾rq`|ΤЫ场Oぺf跑A薄pX{bfo@P戳ずCOぺ挡OTwDてw┦のLh┦CUiq`b46gず|ア]212g^Oぺf跑]|尿计るぇ[C
材G戳宾r]Secondarysyphilis^]AЫ场┪X床癸嘿┦诌饯ブ涧f跑のō┦L溃hOぺf跑Cブlパ闯宾rl]macular^AC宾rl]papular^ACキ宾rl]papulosquamous^のw仪宾rl]pustular^┮舱ΘCoㄇll]灿pAΤ25HfHぃDLvΤoㄇブ涧f跑SxAΤObネU捆┪ネU@ぱ宾r捆ㄠ~材@Ωh好OぃOwgPV宾rC
b材G戳宾rfHいΤ10HfHb放x奸访场]pzP瞅の潮场^|X{蔼PV┦跋办嘿キ楞]condylomalata^C
肩ヱ宾r]latentsyphilis^E_Oミb宾r脸臂砰M@к砰刚喷e锭┦は莱タ`福盆G]CFS^浪dSΤ宾r{xoT兵ンUC宾r脸臂砰bo戳ごΤi|gG床GXhAゥ包YΤ肩ヱ宾rAi|PVLㄠC
戳宾r]lateortertiarysyphilis^]ALgg宾r]asymptomaticneurosyphilis^AΤgg宾r]symptomaticneurosyphilis^Aみ恨宾r]cardiovascularsyphilis^の戳宾r~]GUMMA^C
ぱ宾r]congenitalsyphilis^PV宾rゥ包|bhゥいヴ顶qgLLN宾r脸臂砰肚V倒LㄠY嘿ぱ宾rAOぱ宾r@ObСW18g玻ネA]LㄠKO}lo|A]bСW18ge倒ぉダ克A讽v励莱赣磷KLㄠ`ChゥΝ戳倒ぉ`WM浪dQ{OoCb宾r脖v蔼a跋の蔼MIsfHA宾rM浪d莱赣bСWソTるのだYA浪d@ΩC
PVぱ┦宾rLㄠi|Τ~A浮oネLㄠ~]hydrops^{HAぱ宾r程ΝX{gq`O惑]RHINITIS^惑峨]SNUFFLED^Aеa钡帝X{ㄤウブ涧诌饯f跑Cx凳~jBOぺf跑BhB独xBpO搭ぶgのフyWhO`ǎ{HC
sネㄠ`q`OパXAΩo┦灿颠PV┪YxC
宾rMは莱讽H砰宾r脸臂砰PVぇA砰ずKは莱|旧Phк砰玻ネAoㄇк砰膀セWiだㄢ贺摸G
癸к宾r脸臂砰Sw┦к砰]specificartitreponemalantibody^
パ宾r脸臂砰Iデ砰ず舱麓τ玻ネDSw┦к砰S嘿は莱]non-specificreaginicantibody^C
`ノ宾rM浪喷D脸臂砰浪喷keNon-treponemal（reagin）testsf┮ㄏノк]tΤ借A┮HS嘿借к]Lipoidalantigen^
@（a）VDRL]VenerealDiseaseResearchlaboratory^
@（b）RPR]Rapidplasmareagin^
脸臂砰浪喷k]Treponemaltests^
@（a）棵脸臂砰к砰l刚喷kFTA-ABS]fluorescenttreponemalantibody-absorption^庇P┦のM@┦蔼Aよk尔狡馒C
@（b）宾r脸臂砰y井E刚喷MHA-TPHAAHATTSATPHA]T.pallidumhemagglutinationassay^讽F庇Aτよk]耕虏虫C
@（c）宾r脸臂砰B笆ы刚喷TPI]Treponemalpallidumimmobilization^AウQノ宾r脸臂砰暗кi代XSw┦к砰Aよk狡馒AOτSQC
P弄n烩q`VDRL>1:4┪TPHA>1:80~i{w锭┦C宾rMは莱代喷@b┦钡牟4°6ge{锭┦は莱A]NObUiX{@ㄢgC
材@戳宾rいVDRL基i|Τ|┪|HWWどAτbG戳宾rVDRL基q`|F1:32HWC
b龟悔ㄏノWA{洛vゲ斗剪x宾rM浪喷T贺よkG
jqz浪┪E_ノM浪d]pPRP,VDRL^C
wq代qк砰基H蝶宾r{┦┪lav励は莱G]pVDRL┪RPR^C
ノㄓTwE_b{Wh好PV宾rwM代喷]pFTA-ABSAMHA-TPAHATTSATPHA^C
宾rM代喷鞍锭┦は莱]false-positive^bL宾rPV薄pUAㄏノD脸臂砰浪喷kョi|X{锭┦は莱A瘤Mウ基ぶ|WL1:8{WAiま_鞍锭┦は莱薄pjPiだㄢ贺（1）┦は莱Gbせるぇず鞍锭┦MN|アAㄒpGfrPVA啦歼颠PVM耗eC（2）C┦は莱G尿せるHWAㄒpG砰Kef]Aō┦闯THB挡l舱麓fB楞荐单FRず陈媚}]narcoticaddiction^Mρて]aging^CpG{W好Τ鞍锭┦は莱ANゲ斗i@BiH脸臂砰к代w宾rMよΑ浪喷]Treponemaltest^ㄓ[H跋だC
宾rM代喷鞍潮┦は莱]falsenegative^o贺挡GぶΤ诀|X{A1H°2HCo贺{HX{b包kMいΤLhanticardiolipinantibodyAo贺{HSO嘿ぇ锚{H]prozonephenomenon^C
宾rv励
1）材@戳B材G戳M@~HUΝ戳肩ヱ┦宾rBenzathinepenicillinGA2.4κU虫Aψ`gA@警CDoxycyclinfA@κそJACぱㄢΩAAノㄢgCtetracyclinfAきκそJACぱ|ΩAAノㄢgCErythromycinfAきκそJACぱ|ΩAAノㄢgC
2）@~HW边戳肩ヱ┦宾rA宾r~]Gummas^Mみ纽恨宾r]Cardiovascu-larSyphilis^BezathinepenicillinGA@gずゴT警AC警2.4κUAψ`gCDoxycyclinfA@κそJACぱㄢΩAAノ|gCTetracyclinfAきκそJACぱ|ΩAAノ|gC
3）g宾rGAqueouscrystallinepenicillinGA@ぱ1224κU虫AC|pgR`g24κU虫A@1014ぱC
4）hゥい宾rv励
某ノ媚G
某ノ媚G沮HW顶q]stage^倒ぉC硼v励AΤㄇMa某[v励AㄒpG材G警Benzathinepenicillin2.4κU虫ψ`gA_l励@P戳倒ぉASOOСWソ3る包kの材G戳宾rゥ包C
蠢Nノ媚]C硼L庇）:
ゥ包ΤC硼L庇fv斗暗ブ涧代喷のhL庇v励]desensitization^C
СWい宾rBzΝ戳СW包kb材@Ω暗玻浪A莱ㄏノD脸臂砰浪喷keNon-treponemal（reagin）testsf暗宾rMz浪CpGO妮┦肚f蔼MIsfH莱bhゥソTるのだYA滦兜浪喷CСWい宾r斑@某v励ノ媚OC啦]penicillin^Cv励よΑ沮宾rbê@戳ㄤBz家ΑPSΤhゥfHPC
fH莱Qibv励Τi玻ネJarish-HerxheimerreactionMI┦Aㄤ挡Giま_lcΝ戳ΜYBiHoネ边戳Lみv搭CLㄠ~{HC
bv励Awqは莱浪喷]reagintest^bhゥ俱L{い莱Cる暗@ΩAgv励包kbTるl萝いpG基SΤC|杠A莱sAv励C
ぱ宾r蝶PBzパダ砰ずIgGк砰|gLL块JLㄠ砰ずA]ぃ恨LㄠO_uPVぱ┦宾rAウVDRLtest┪FTA-ABStest常Τie锭┦は莱C]oㄇ浪喷基ゲ斗尿ど蔼┪尿sb~OE_PVnンAτo贺薄p捆ㄠ莱倒ぉv励C
sネㄠIgMк砰ig吕┪sネㄠMbmodifiedFTA-ABSい浪XAiOo贺浪喷よΑ庇P┦PM@┦ごOΤ好拜C
pGM锭┦は莱ダ克钡ぃA讽C硼v励┪ぃOノC啦v励┪钡v励AぃAb捆ㄠXネ莱倒ぉv励Co摸捆ㄠb}lv励e莱@福盆G浪dH暗膀セ戈A癸捆ㄠv励宾r斑@崩滤ノ媚OC硼]penicillin^C
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