病例介绍 患者女,43岁,因低热,皮肤损害1年,双下肢肌痛、无力伴吞咽困难半年,于1986年5月6日入院。入院前曾先后被诊断为“多形性红斑”、“系统性红斑狼疮”。 入院查体:T37.3℃,R16次/分,P72次/分,BP110/60mmHg,头面部、颈周、胸及双手指掌侧、四肢伸侧呈对称性分布的紫色红斑,间有轻度毛细血管扩张,糠状鳞屑,部分有中央坏死区,周边可见结痂,双肺底可闻湿罗音。腹平坦,肝脾未触及。 Case description The female patient, aged 43, was admitted to hospital on May 6, 1986 because of fever and skin damage for 1 year, with bilateral lower extremity myalgia and weakness with dysphagia for six months. Before admission has been diagnosed as “erythema multiforme,” “systemic lupus erythematosus.” Admission examination: T37.3 ℃, R16 beats / min, P72 beats / min, BP110 / 60mmHg, head and face, neck circumference, chest and both hands on the palmar side, limb extensor symmetrical distribution of purple erythema, between light Degree of telangiectasia, bran-like scales, part of the central necrosis area, visible crusting around, lungs can smell wet rales. Abdomen flat, liver and spleen not touched.