I thought it was angular stomatitis, but I didn’t expect it to be this disease if it persisted.

He was recommended to me by a colleague in the dental department. My colleague felt that the rash at the corners of his mouth was a bit special rather than angular stomatitis, so he needed to be examined by a dermatologist.

I don’t remember what this person looks like. I only remembered this incident yesterday when I saw the photo of his altercation. Therefore, I write it down for the benefit of readers, and also to remind everyone of atypical angular stomatitis, and those who have had oral sex or other unclean sex before should be careful.

The reason why I was so impressed was because when I entered the diagnosis of "angular stomatitis" on the computer, I wrote "oral sex inflammation", which made the brother at the registration desk laugh out loud. When I discovered that I had made a mistake, he had already paid the fee, had his blood taken, and left the hospital. When he returned for a follow-up visit the next day, I sincerely apologized to him, helped him contact the subsequent hospital for treatment, and finally made up for my mistake.

When he came to the clinic, he had thick, wart-like rashes on both sides of his mouth that looked dazzling on his entire face. If you look carefully, there are oozing and dirty yellow scabs on the surface of these rashes. I asked him if it hurt, and he said it didn't hurt at all, but it would crack when he opened his mouth and smiled, causing some bleeding and pain. I asked him again if he had been treated? He also said that it lasted for a month. He went to two hospitals and said it was angular stomatitis. He also tried some ointments but had no effect.

Out of professional habit, I asked him: Have you ever had sexual relations with other women?

He replied: No, not recently.

This is interesting. It means that it has happened before. I asked him: Have you had unclean sexual relations in the past three months? I don't care about your personal life. I'm asking these questions for your own good. Please answer me honestly! < /p>

"Yes, it is suspected to be chancre of syphilis, primary syphilis. It may be infected by direct contact with oral sex. Get tested quickly." I told him while giving him a syphilis test sheet." RPR+TPPA", what I didn't expect was that when writing the diagnosis, I mistakenly wrote "angular stomatitis?" instead of "oral sex inflammation?", which made a big joke.

I could see that he left my clinic with questions. The next day, he came with the test results.

The test sheet clearly states "RPR1:8, TPPA positive", which is a clear diagnosis of syphilis. I asked him to take off his pants and examine his genitals and perianal area. I also looked at his trunk and limbs. I didn't find any syphilis rash. At this time, I realized that I had written "angular stomatitis" as "oral sex inflammation", which was a joke, and I quickly apologized to him. But he just kept asking me what should I do?

Penicillin is still the most effective treatment for syphilis The best drug, long-acting penicillin is injected intramuscularly once a week for three consecutive weeks, which is standardized treatment. After that, it will be reviewed every three months in the first year, every six months in the second year, and once in the third year. Observe the drop of the syphilis indicator RPR. I told him this to avoid recurrence and observe the treatment effect.

Penicillin must be tested on the skin. Unfortunately, many nurses in hospitals think that they are allergic to penicillin if they see a little redness, so they cannot accept penicillin. Although this person had been treated with penicillin many times before, this person was no exception. After communication, I contacted a colleague from the dermatology department of another hospital in Beijing. He took a penicillin skin test, passed it, and received penicillin. After standardized treatment, the hard chancre at the corners of the mouth completely subsided.