BRITISH JOURNAL OF VENEREAL DISEASES in
BRITISH JOURNAL OF VENEREAL DISEASES in
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英国性病杂志
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通讯作者：
N. Fairley
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作者：
N. Fairley
我自己的经验仅限于印度和欧洲水手以及其他从中国、印度、西非、南美洲和其他热带国家返回的男性。毫无疑问，它在炎热的气候和有色人种中更为常见。我们所看到的这种疾病的特征是腹股沟或腹股沟-髂腹股沟腺体的亚急性或慢性炎症改变，这些腺体经常破裂、化脓并形成鼻窦。涎腺周围炎是明显的。在港口休假期间，几乎总是有与有色人种女性发生性关系的历史。躯体症状很常见，但当患者在热带疾病医院就诊时，疱疹样原发灶通常并不明显，如果最初出现发烧，通常已经消失。男性的并发症包括阴茎、阴囊和下肢的象皮肿，在大多数情况下，至少是在根治性切除腺体之后。男性直肠狭窄比女性罕见得多。我见过一例来自南美的男性，有瘘管，有淋病直肠炎和梅毒感染的病史。在这种情况下，弗雷试验是阳性的。斯坦努斯在他最近关于这个问题的专著中对这种疾病的历史方面进行了非常巧妙的回顾，这里不需要参考，也许只是要指出，在本世纪初，曼森说他看到了许多气候博博病的病例。
MY own experience of climatic bubo or lymphogranuloma inguinale is limited to Indian and European sailors and others of the male sex returning from China, India, West Africa, South America and other tropical countries. It is undoubtedly more common in hot climates and amongst coloured people. The disease as we see it is characterised by subacute or chronic inflammatory changes in the inguinal or inguinal-cruro-iliac group of glands which frequently break down, suppurate and form sinuses. Periadenitis is marked. There is almost invariably a history of intercourse with coloured women during leave in ports. Constitutional symptoms are common, but by the time the patients are seen at the Hospital for Tropical Diseases the herpetiform primary lesions are not generally evident, and fever, if initially present, has often disappeared. Complications in the male include elephantiasis of the penis, scrotum and lower limbs, and in most instances at least follow radical excision of the glands. Stricture of the rectum is much rarer in males than in females. I have seen one such case in a male from South America; fistulae were present, and there was a history of gonorrhoeal proctitis and syphilitic infection as well. The Frei test in this case was positive. The historical aspects of the disease have been very ably reviewed by Stannus1 in his recent monograph on the subject and call for no reference here, except perhaps to point out that Manson, at the beginning of the present century, stated he had seen many cases of climatic bubo