mw w.z. 1984
DESCRIPTION
Mw W.Z. 1984. Poli dermatologie Roodheid coeur ; wisselend aanwezig, erytheem + papels Tevens sinds 1 jaar haarverlies eci ; bij wassen vele haren los, wil pruik. Lues screening POS Blot POS RPR 1:256. Lues screening +. Lues Endemische treponematose Aspecifiek Lyme ?. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Mw W.Z. 1984](https://reader036.vdocuments.mx/reader036/viewer/2022062323/568165bf550346895dd8c0ee/html5/thumbnails/1.jpg)
![Page 2: Mw W.Z. 1984](https://reader036.vdocuments.mx/reader036/viewer/2022062323/568165bf550346895dd8c0ee/html5/thumbnails/2.jpg)
Mw W.Z. 1984
• Poli dermatologie• Roodheid coeur; wisselend aanwezig,
erytheem + papels• Tevens sinds 1 jaar haarverlies eci;
bij wassen vele haren los, wil pruik
![Page 3: Mw W.Z. 1984](https://reader036.vdocuments.mx/reader036/viewer/2022062323/568165bf550346895dd8c0ee/html5/thumbnails/3.jpg)
• Lues screening POS• Blot POS• RPR 1:256
![Page 4: Mw W.Z. 1984](https://reader036.vdocuments.mx/reader036/viewer/2022062323/568165bf550346895dd8c0ee/html5/thumbnails/4.jpg)
Lues screening +
• Lues
• Endemische treponematose
• Aspecifiek
• Lyme?
![Page 5: Mw W.Z. 1984](https://reader036.vdocuments.mx/reader036/viewer/2022062323/568165bf550346895dd8c0ee/html5/thumbnails/5.jpg)
The Endemic Treopnematosis; Clinical Microbiology Reviews, 2014
![Page 6: Mw W.Z. 1984](https://reader036.vdocuments.mx/reader036/viewer/2022062323/568165bf550346895dd8c0ee/html5/thumbnails/6.jpg)
Stadia
• Primaire lues (incubatie 9-90 dagen), duurt 3 weken
• Secundaire luesontstaat na 2 maanden en duurt tot 4 jaar
• Latente luesduurt 5-50 jaar
• Tertiaire lues
![Page 7: Mw W.Z. 1984](https://reader036.vdocuments.mx/reader036/viewer/2022062323/568165bf550346895dd8c0ee/html5/thumbnails/7.jpg)
Lues 2• Jeukt niet• Symmetrisch• Koper rood• 8 weken maculae• 12 weken papels
![Page 8: Mw W.Z. 1984](https://reader036.vdocuments.mx/reader036/viewer/2022062323/568165bf550346895dd8c0ee/html5/thumbnails/8.jpg)
![Page 9: Mw W.Z. 1984](https://reader036.vdocuments.mx/reader036/viewer/2022062323/568165bf550346895dd8c0ee/html5/thumbnails/9.jpg)
![Page 10: Mw W.Z. 1984](https://reader036.vdocuments.mx/reader036/viewer/2022062323/568165bf550346895dd8c0ee/html5/thumbnails/10.jpg)
![Page 11: Mw W.Z. 1984](https://reader036.vdocuments.mx/reader036/viewer/2022062323/568165bf550346895dd8c0ee/html5/thumbnails/11.jpg)
Syphilitic alopecia• Patchy hair loss is characteristic of
syphilis• The hair falls leaving small, scattered,
irregularly thinned, ‘motheaten’ patches of semi-baldness. The eyebrows and beard may be affected Syphilitic alopecia may be accompanied by a more generalized, diffuse alopecia associated with generalized infection and anaemia
![Page 12: Mw W.Z. 1984](https://reader036.vdocuments.mx/reader036/viewer/2022062323/568165bf550346895dd8c0ee/html5/thumbnails/12.jpg)
Behandeling
• 2,4 miljoen IE penicilline imvroeg: eenmaliglaat: dag 1-8-15
• Doxycycline 2 dd 100mgvroeg: 2 wekenlaat: 4 weken
• Zwangere: azithromycine• RPR / VDRL vervolgen
![Page 14: Mw W.Z. 1984](https://reader036.vdocuments.mx/reader036/viewer/2022062323/568165bf550346895dd8c0ee/html5/thumbnails/14.jpg)
The limerick of syphilis• There was a young man of Black Bay,
Who thought syphilis just went away,And felt that a chancre,Was merely a canker,Acquired in lascivious play.
• Now first he got acne vulgaris,The kind that is rampant in Paris,It covered his skin,From forehead to shin,And now people ask where his hair is.
• With symptoms increasing in number,His aorta’s in need of a plumber,His heart is cavorting,His wife is aborting,And now he’s acquired a gumma.
• Consider his terrible plight,His eyes won’t react to the light,His hands are apraxicHis gait is ataxic,He’s developing gun-barrell sight.
• His passions are strong, as before,But his penis is flaccid, and sore,His wife now has tabesAnd sabre-shinned babies,She’s really worse off than a whore.
• There are pains in his belly and knees,His sphincters have gone by degrees,Paroxysmal incontinence,With all its concomitants,Brings on quite unpredictable pees.
• Though treated in every known way,His spirochetes grow day by day,He’s developed paresis,Converses with Jesus,And thinks he’s the Queen of the May.