賓@r獨QgBL訂醜洛veē賓rOパ賓r臉臂砰]Treponemapallidum^yΘō┦C┦PVCo賀賓r臉臂砰パウcyD`燦Ab@廄L描UA螟o{Aゲ鬥ノSt跌償陪L描]darkfieldmicroscopy^~CウSxO笆戳P肩ヱ戳ユ蠢iCXG┮Τ賓rPV常Ogパ┦鋇牟Aq}lBiJH砰CτgパD┦鋇牟AplcずPV┪塊PVh耕ぶǎC玻ePV賓riま_Ν玻AL浮いのsネㄠPVAτYvThゥ擋GC

　　材@戳賓r]Primarysyphilis^ㄥ材@戳Ui]Primarychancre^b┦鋇牟TgX{C材@戳UiAq`パ蟲@Lh┦Cl}lAIktеA┮檢号娩tの┏場wてΤpn癌wCbk┦`ǎ材@戳fomblcVの潮BA┮H材@戳賓rbk┦]|Lk儈醚XㄓC

　　材@戳賓rq`|ΤЫ場Oぺf跑A薄pX{bfo@P戳ずCOぺ擋OTwDてw┦のLh┦CUiq`b46gず|ア]212g^Oぺf跑]|尿計るぇ[C

　　材G戳賓r]Secondarysyphilis^]AЫ場┪X床癸嘿┦謅餞ブ澗f跑のō┦L潰hOぺf跑Cブlパ闖賓rl]macular^AC賓rl]papular^ACキ賓rl]papulosquamous^のw儀賓rl]pustular^┮艙ΘCoㄇll]燦pAΤ25HfHぃDLvΤoㄇブ澗f跑SxAΤObネU捆┪ネU@ぱ賓r捆ㄠ~材@Ωh好OぃOwgPV賓rC

　　b材G戳賓rfHいΤ10HfHb放x奸訪場]pzP瞅の潮場^|X{藹PV┦跋辦嘿キ楞]condylomalata^C

　　肩ヱ賓r]latentsyphilis^E_Oミb賓r臉臂砰M@к砰剛噴e錠┦は萊タ`福盆G]CFS^浪dSΤ賓r{xoT兵ンUC賓r臉臂砰bo戳ごΤi|gG床GXhAゥ包YΤ肩ヱ賓rAi|PVLㄠC

　　戳賓r]lateortertiarysyphilis^]ALgg賓r]asymptomaticneurosyphilis^AΤgg賓r]symptomaticneurosyphilis^Aみ恨賓r]cardiovascularsyphilis^の戳賓r~]GUMMA^C

　　ぱ賓r]congenitalsyphilis^PV賓rゥ包|bhゥいヴ頂qgLLN賓r臉臂砰肚V倒LㄠY嘿ぱ賓rAOぱ賓r@ObСW18g玻ネA]LㄠKO}lo|A]bСW18ge倒ぉダ克A諷v勵萊贛磷KLㄠ`ChゥΝ戳倒ぉ`WM浪dQ{OoCb賓r脖v藹a跋の藹MIsfHA賓rM浪d萊贛bСWソTるのだYA浪d@ΩC

　　PVぱ┦賓rLㄠi|Τ~A浮oネLㄠ~]hydrops^{HAぱ賓r程ΝX{gq`O惑]RHINITIS^惑峨]SNUFFLED^Aеa鋇帝X{ㄤウブ澗謅餞f跑Cx凳~jBOぺf跑BhB獨xBpO搭ぶgのフyWhO`ǎ{HC

　　sネㄠ`q`OパXAΩo┦燦颠PV┪YxC

　　賓rMは萊諷H砰賓r臉臂砰PVぇA砰ずKは萊|舊Phк砰玻ネAoㄇк砰膀セWiだㄢ賀摸G

　　癸к賓r臉臂砰Sw┦к砰]specificartitreponemalantibody^

　　パ賓r臉臂砰Iデ砰ず艙麓τ玻ネDSw┦к砰S嘿は萊]non-specificreaginicantibody^C

　　`ノ賓rM浪噴D臉臂砰浪噴keNon-treponemal（reagin）testsf┮ㄏノк]tΤ借A┮HS嘿借к]Lipoidalantigen^

　　@（a）VDRL]VenerealDiseaseResearchlaboratory^

　　@（b）RPR]Rapidplasmareagin^

　　臉臂砰浪噴k]Treponemaltests^

　　@（a）棵臉臂砰к砰l剛噴kFTA-ABS]fluorescenttreponemalantibody-absorption^庇P┦のM@┦藹Aよk爾狡饅C

　　@（b）賓r臉臂砰y井E剛噴MHA-TPHAAHATTSATPHA]T.pallidumhemagglutinationassay^諷F庇Aτよk]耕虜蟲C

　　@（c）賓r臉臂砰B笆ы剛噴TPI]Treponemalpallidumimmobilization^AウQノ賓r臉臂砰暗кi代XSw┦к砰Aよk狡饅AOτSQC

　　P弄n燴q`VDRL>1:4┪TPHA>1:80~i{w錠┦C賓rMは萊代噴@b┦鋇牟4°6ge{錠┦は萊A]NObUiX{@ㄢgC

　　材@戳賓rいVDRL基i|Τ|┪|HWWどAτbG戳賓rVDRL基q`|F1:32HWC

　　b龜悔ㄏノWA{洛vゲ鬥剪x賓rM浪噴T賀よkG

　　jqz浪┪E_ノM浪d]pPRP,VDRL^C

　　wq代qк砰基H蝶賓r{┦┪lav勵は萊G]pVDRL┪RPR^C

　　ノㄓTwE_b{Wh好PV賓rwM代噴]pFTA-ABSAMHA-TPAHATTSATPHA^C

　　賓rM代噴鞍錠┦は萊]false-positive^bL賓rPV薄pUAㄏノD臉臂砰浪噴kョi|X{錠┦は萊A瘤Mウ基ぶ|WL1:8{WAiま_鞍錠┦は萊薄pjPiだㄢ賀（1）┦は萊Gbせるぇず鞍錠┦MN|アAㄒpGfrPVA啦殲颠PVM耗eC（2）C┦は萊G尿せるHWAㄒpG砰Kef]Aō┦闖THB擋l艙麓fB楞薦單FRず陳媚}]narcoticaddiction^Mρて]aging^CpG{W好Τ鞍錠┦は萊ANゲ鬥i@BiH臉臂砰к代w賓rMよΑ浪噴]Treponemaltest^ㄓ[H跋だC

　　賓rM代噴鞍潮┦は萊]falsenegative^o賀擋GぶΤ訣|X{A1H°2HCo賀{HX{b包kMいΤLhanticardiolipinantibodyAo賀{HSO嘿ぇ錨{H]prozonephenomenon^C

　　賓rv勵

　　1）材@戳B材G戳M@~HUΝ戳肩ヱ┦賓rBenzathinepenicillinGA2.4κU蟲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邊戳肩ヱ┦賓rA賓r~]Gummas^Mみ紐恨賓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賓rGAqueouscrystallinepenicillinGA@ぱ1224κU蟲AC|pgR`g24κU蟲A@1014ぱC

　　4）hゥい賓rv勵

　　某ノ媚G

　　某ノ媚G沮HW頂q]stage^倒ぉC硼v勵AΤㄇMa某[v勵AㄒpG材G警Benzathinepenicillin2.4κU蟲ψ`gA_l勵@P戳倒ぉASOOСWソ3る包kの材G戳賓rゥ包C

　　蠢Nノ媚]C硼L庇）:

　　ゥ包ΤC硼L庇fv鬥暗ブ澗代噴のhL庇v勵]desensitization^C

　　СWい賓rBzΝ戳СW包kb材@Ω暗玻浪A萊ㄏノD臉臂砰浪噴keNon-treponemal（reagin）testsf暗賓rMz浪CpGO妮┦肚f藹MIsfH萊bhゥソTるのだYA灤兜浪噴CСWい賓r斑@某v勵ノ媚OC啦]penicillin^Cv勵よΑ沮賓rbê@戳ㄤBz家ΑPSΤhゥfHPC

　　fH萊Qibv勵Τi玻ネJarish-HerxheimerreactionMI┦Aㄤ擋Giま_lcΝ戳ΜYBiHoネ邊戳Lみv搭CLㄠ~{HC

　　bv勵Awqは萊浪噴]reagintest^bhゥ俱L{い萊Cる暗@ΩAgv勵包kbTるl蘿いpG基SΤC|杠A萊sAv勵C

　　ぱ賓r蝶PBzパダ砰ずIgGк砰|gLL塊JLㄠ砰ずA]ぃ恨LㄠO_uPVぱ┦賓rAウVDRLtest┪FTA-ABStest常Τie錠┦は萊C]oㄇ浪噴基ゲ鬥尿ど藹┪尿sb~OE_PVnンAτo賀薄p捆ㄠ萊倒ぉv勵C

　　sネㄠIgMк砰ig呂┪sネㄠMbmodifiedFTA-ABSい浪XAiOo賀浪噴よΑ庇P┦PM@┦ごOΤ好拜C

　　pGM錠┦は萊ダ克鋇ぃA諷C硼v勵┪ぃOノC啦v勵┪鋇v勵AぃAb捆ㄠXネ萊倒ぉv勵Co摸捆ㄠb}lv勵e萊@福盆G浪dH暗膀セ戈A癸捆ㄠv勵賓r斑@崩濾ノ媚OC硼]penicillin^C

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