论文部分内容阅读
患者男性,22岁。因双下肢、胸、腹皮下硬结性红斑5月余,持续发热半月,于1983年3月25日入院。患者于1982年10月始右大腿起一结节,蚕豆大。1983年1月以后皮下硬结逐渐增多,分布于双下肢、胸、腹、背、臀部,破溃后流少量黄色液体。1983年3月开始发热,体温呈弛张热型,最高达39～40℃。先后按“结节性红斑”、“脂膜炎”治疗,口服氯喹、昆明山海棠和强的松无效。近2～3年有反复口腔、外阴溃疡发作史。查体:T 37.4～39.9℃,慢性病容,皮肤巩膜无黄染,双领下、颈、右腹股沟可扪及肿大淋巴结。心肺无异常发现。腹平软,肝脾未扪及。躯干
Male patient, 22 years old. Due to the lower extremities, thoracic, abdominal subcutaneous scleroderma more than 5 months, sustained fever half months, March 25, 1983 admission. Patients in the beginning of October 1982 from the right thigh nodules, broad beans. Subcutaneous induration after January 1983 gradually increased, located in the lower extremities, chest, abdomen, back, buttocks, after the collapse of a small amount of yellow liquid flow. In 1983 March began fever, body temperature was relaxation heat type, up to 39 ~ 40 ℃. Has been press “nodular erythema ”, “panniculitis ” treatment, oral chloroquine, Kunming Begonia and prednisone ineffective. Nearly 2 to 3 years have repeated oral and genital ulcer episodes. Physical examination: T 37.4 ~ 39.9 ℃, chronic disease, skin sclera no yellow dye, double collar, neck, right groin palpable and enlarged lymph nodes. No abnormal heart and lung findings. Abdomen soft, liver and spleen not palpable. trunk