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患者女性,30岁,农民。以全身脓疱,高烧一月,闭经五个多月主诉入院。患者首次妊娠第三个月时,左侧颈部出现甲盖大两处脱屑斑,轻度红晕,分娩后自行消退。第二次妊娠初期,原颈部损害又现,妊娠八个月时,颈周皮肤发红,出现针头大密集的脓疱,表面结厚层脓痂,一月后波及前胸,经治无效,分娩后约十日自愈。第三次妊娠,至八个多月时,颈及胸部损害再现,且上腹部及两上臂屈侧也呈潮红斑,表面密集小脓疱,并伴高热,畏寒,医治无效,分娩一月后自愈。第四次妊娠初期,症状及经过同前,近8个月时,波及全腹及两上肢,伴全身症,治疗无效,分娩后一月自愈。本次妊娠已五个多月,脓疱再发,一月前服中药后约3小时突发高热,持续二日后,在颈、胸、背及腹部相继成批发生红斑基础上的簇集性小脓疱,六日后脓疱破裂,结成厚
Female patient, 30 years old, farmer. To systemic pustular, high fever in January, amenorrhea more than five months admitted to hospital. The first trimester of pregnancy, the patient appeared on both sides of the left neck carapace spot two, mild flush, subside after childbirth. The second trimester of pregnancy, the original neck damage is now, the first eight months of pregnancy, neck and neck skin redness, the emergence of dense needle pustules, the surface knot thick pus scab, affecting the chest after January, the rule invalid , About ten days after childbirth self-healing. The third pregnancy, to more than eight months, the neck and chest damage recurrence, and the upper abdomen and the upper arm flexor also erythema, surface dense small pustules, and accompanied by fever, chills, treatment is invalid, delivery January After healing. The fourth trimester of pregnancy, symptoms and after the same before, nearly 8 months, spread to the entire abdomen and two upper limbs, with symptoms, treatment ineffective, self-healing after delivery in January. The pregnancy has more than five months, recurrence of pustules, about three hours after taking Chinese medicine in January suddenly high fever, continued two days later, in the neck, chest, back and abdomen have batch erythema based on clustering Small pustules, pustules rupture six days, the formation of thick