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已发表论文
诊断挑战：免疫抑制移植患者肛周疱疹长期误诊
Authors Li X , Liu W , Cheng L, Tao X , Zhang J
Received 7 October 2025
Accepted for publication 27 November 2025
Published 3 December 2025 Volume 2025:18 Pages 3297—3302
DOI https://doi.org/10.2147/CCID.S572519
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Monica K. Li
Xinze Li,1– 5,* Weijun Liu,1– 5,* Lifang Cheng,1– 5 Xiaohua Tao,1– 5 Jing Zhang1– 5
1Department of Dermatology, Dermatology Hospital of Jiangxi Province, Nanchang, Jiangxi, People’s Republic of China; 2Department of Dermatology, Jiangxi Provincial Clinical Research Center for Skin Diseases, Nanchang, Jiangxi, People’s Republic of China; 3Department of Dermatology, Candidate Branch of National Clinical Research Center for Skin Diseases, Nanchang, Jiangxi, People’s Republic of China; 4Department of Dermatology, Dermatology Institute of Jiangxi Province, Nanchang, Jiangxi, People’s Republic of China; 5Department of Dermatology, The Affiliated Dermatology Hospital of Nanchang University, Nanchang, Jiangxi, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Jing Zhang, Department of Dermatology, Dermatology Hospital of Jiangxi Province, Nanchang, Jiangxi, 330000, People’s Republic of China, Tel +86 19855134654, Fax +86-0791-85207512, Email jzhang_pf@163.com Xiaohua Tao, Department of Dermatology, Dermatology Hospital of Jiangxi Province, Nanchang, Jiangxi, 330000, People’s Republic of China, Tel +86 19855134654, Fax +86-0791-85207512, Email taoxiaohua@126.com
Abstract: Perianal herpes simplex virus (HSV) infection represents a rarely reported clinical variant that is frequently misdiagnosed. We present a case of perianal HSV in a patient with a history of renal transplantation and type 2 diabetes mellitus. Following a previous diagnosis of perianal eczema, the patient’s cutaneous lesions slowly worsened despite treatment with topical corticosteroids. Notably, the presence of well-demarcated superficial erosions, combined with immunosuppressive conditions including diabetes mellitus and renal transplantation, prompted targeted HSV screening which confirmed the diagnosis. This case underscores the importance of considering HSV testing in patients presenting with atypical perianal eruptions.
Keywords: herpes simplex virus, misdiagnosis, renal transplantation, diabetes mellitus
1Department of Dermatology, Dermatology Hospital of Jiangxi Province, Nanchang, Jiangxi, People’s Republic of China; 2Department of Dermatology, Jiangxi Provincial Clinical Research Center for Skin Diseases, Nanchang, Jiangxi, People’s Republic of China; 3Department of Dermatology, Candidate Branch of National Clinical Research Center for Skin Diseases, Nanchang, Jiangxi, People’s Republic of China; 4Department of Dermatology, Dermatology Institute of Jiangxi Province, Nanchang, Jiangxi, People’s Republic of China; 5Department of Dermatology, The Affiliated Dermatology Hospital of Nanchang University, Nanchang, Jiangxi, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Jing Zhang, Department of Dermatology, Dermatology Hospital of Jiangxi Province, Nanchang, Jiangxi, 330000, People’s Republic of China, Tel +86 19855134654, Fax +86-0791-85207512, Email jzhang_pf@163.com Xiaohua Tao, Department of Dermatology, Dermatology Hospital of Jiangxi Province, Nanchang, Jiangxi, 330000, People’s Republic of China, Tel +86 19855134654, Fax +86-0791-85207512, Email taoxiaohua@126.com
Abstract: Perianal herpes simplex virus (HSV) infection represents a rarely reported clinical variant that is frequently misdiagnosed. We present a case of perianal HSV in a patient with a history of renal transplantation and type 2 diabetes mellitus. Following a previous diagnosis of perianal eczema, the patient’s cutaneous lesions slowly worsened despite treatment with topical corticosteroids. Notably, the presence of well-demarcated superficial erosions, combined with immunosuppressive conditions including diabetes mellitus and renal transplantation, prompted targeted HSV screening which confirmed the diagnosis. This case underscores the importance of considering HSV testing in patients presenting with atypical perianal eruptions.
Keywords: herpes simplex virus, misdiagnosis, renal transplantation, diabetes mellitus