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患者女,63岁。因双下肢红肿疼痛1年,于2009年3月10日就诊。患者于1年前无明显诱因出现双下肢疼痛,以小腿为著,呈灼热及针刺感,阵发性加重,夜间明显,每次持续数小时后能略有缓解。疼痛可因受热加剧,遇冷减轻,反复发作,未经过任何治疗。患者曾从事车工工作18年,长期站立。既往体健,家族成员中无类似疾病患者。体格检查:表情痛苦,浅表淋巴结未触及,各系统检查未见异常。皮肤科检查:双下肢皮肤充血肿胀,表
Female patient, 63 years old. Due to swelling and pain in both lower extremities 1 year, March 10, 2009 treatment. One year ago, there was no obvious incentive for patients with lower extremity pain, with the lower leg as a sign of burning and acupuncture, paroxysmal aggravating and obvious at night, each lasting several hours after a slight relief. Pain may be due to increased heat, cold, reduce the recurrence, without any treatment. Patient has been engaged in lathe work 18 years, long standing. Past physical health, family members no similar diseases. Physical examination: expression of pain, superficial lymph nodes not touched, the system check no abnormalities. Dermatology examination: double lower extremity skin congestion and swelling, the table