中国麻风皮肤病杂志 ›› 2024, Vol. 40 ›› Issue (1): 1-2.doi: 10.12144/zgmfskin202401001

• 猴痘快报 • 上一篇    下一篇

非典型猴痘一例

曾玲玲,颜芳,程健   

  1. 武汉市东西湖区人民医院皮肤科，湖北武汉，430040
  • 出版日期:2024-01-15 发布日期:2023-12-25

A case of atypical monkeypox

ZENG Lingling, YAN Fang, CHENG Jian   

  1. Department of Dermatology, People’s Hospital of Dongxihu District, Wuhan 430040, China
  • Online:2024-01-15 Published:2023-12-25

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摘要： 本文报道一例24岁非典型猴痘男性患者，3天前包皮及龟头出现环状丘疹，无发热、咽痛等系统症状，发病前有无保护男男性行为。皮肤科查体：包皮、龟头可见数个绿豆、黄豆大小的环状丘疹，中央凹陷可见结痂，躯干、四肢及头面无明显皮疹。猴痘病毒检测阳性。对症治疗后皮疹逐渐消退。本例猴痘患者仅出现生殖器皮损，与常规猴痘表现不相同，在临床中容易误诊。

关键词: 猴痘病毒, 非典型猴痘, 生殖器, 男男性行为

Abstract: We report a 24-year-old male with atypical monkeypox, who appeared annular papules on the foreskin and glans 3 days ago, no systemic symptoms such as fever and sore throat, and there was unprotective MSM before the onset. Dermatological examination showed several ring-shaped papules with the size of mung beans and soybeans on the foreskin and glans penis, scabs in the central depression, and no obvious rashes on the trunk, limbs and head surface. Monkeypox virus was positive. The rashes gradually resolved after symptomatic treatment. This monkeypox patient only had genital lesions, which was different from routine monkeypox and easy to be misdiagnosed in clinic.

Key words: monkeypox virus, atypical monkeypox, genitals, MSM