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Syphilis in clinical psychiatry: a review.

机译：梅毒在临床精神病学中的综述。

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摘要

Syphilis is a potentially fatal infectious disease that has a long history of association with psychiatry. Recent developments in epidemiology, diagnosis, and treatment guidelines warrant a review of the current relationship of syphilis to clinical psychiatry. After a recent peak of incidence in the United States, syphilis is once again on the decline. Although the prevalence of syphilis remains endemic in certain locations, it has been targeted for elimination. Meanwhile, diagnostic testing remains complex and imperfect, especially for the detection of late stages of infection and neurosyphilis. The U.S. Public Health Service recently revised guidelines for the evaluation and management for syphilis. This paper discusses these developments and their specific implications to psychiatric practice. The likelihood of discovering previously unsuspected cases through screening and recommendations on high-risk groups to screen are discussed. A case example illustrates some of the key concepts.
机译：梅毒是一种潜在的致命传染病，与精神病学有着悠久的历史。流行病学，诊断和治疗指南的最新发展值得对梅毒与临床精神病学的当前关系进行回顾。在美国最近的发病高峰之后，梅毒再次下降。尽管梅毒的流行在某些地方仍然很普遍，但已将其作为消除的目标。同时，诊断测试仍然复杂且不完善，特别是对于感染和神经梅毒的晚期检测。美国公共卫生局最近修订了梅毒评估和管理指南。本文讨论了这些发展及其对精神病学实践的具体影响。讨论了通过筛查发现以前未曾怀疑的病例的可能性以及对高危人群进行筛查的建议。一个案例说明了一些关键概念。

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