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女,30岁,1月前,无明显诱因右侧背部出现2个5分币红斑,高出皮肤,不痛不痒。外搽鱼石脂软膏,肌注青霉素、庆大霉素等药无效。背部红斑处糜烂并逐渐扩大,蔓延至右前胸及整个背部,以接触性皮炎于1988年4月11日收入院。查体:体温、脉搏、呼吸、血压均正常。神清。皮肤粘膜无黄染及出血点,浅表淋巴结不大,胸骨无压痛,心肺无异常,肝脾不大,下肢无浮肿。皮肤情况:背部右液下有大片红色斑块,触之较硬,中心处糜烂,有少量渗液,斑块周围散在小水泡。左侧背部、腋下、前胸散在小片红斑。实验室检查:血尿便常规、血小板、肝功、肾劝.免疫球蛋白等均正常,胸部 X 线示:右上肺陈旧性肺结核,右侧陈旧性胸膜炎。治疗经过:给予抗过敏、VC、强的松(30mg/
Female, 30 years old, 1 month ago, there is no obvious incentive to appear on the right back of the two 5-cent erythema, higher than the skin, superficial. Waicha fish grease ointment, intramuscular penicillin, gentamicin and other drugs invalid. Back erythema erosion and gradually expanded to the right chest and the entire back spread to contact dermatitis in April 11, 1988 income homes. Physical examination: body temperature, pulse, respiration, blood pressure are normal. God clear. No yellow skin and mucous membrane bleeding and bleeding, superficial lymph nodes, sternal no tenderness, no abnormal heart and lung, liver and spleen is not large, no swelling of the lower extremities. Skin conditions: the back of the right fluid under a large red patches, touching the harder, the center of erosion, a small amount of exudate, plaque scattered around the small blisters. Left back, armpit, chest scattered in small pieces of erythema. Laboratory tests: hematuria routine, platelets, liver function, kidney persuasion. Immunoglobulin Dengjun normal chest X-ray showed: the right upper lung old tuberculosis, right side of the old pleurisy. After treatment: given anti-allergy, VC, prednisone (30mg /