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临床资料患者,男,60岁。主因口腔黏膜溃疡1周,全身红斑4 d,于2011年7月30日就诊。2周前患者因口服“中药丸”治疗面瘫,2 d后出现眩晕,遂停药。1周前口腔黏膜出现多处溃疡伴疼痛,未予重视。随后阴囊部位出现红斑伴剧烈瘙痒,4 d前红斑波及至全身,曾给予抗过敏药治疗,但效果不佳,门诊以“多形红斑型药疹”收入院。既往有关节炎30年余;腰椎间盘突出20年余;20年前行疝气修补术;轻度脂肪肝20年;面瘫5年。
Clinical data patients, male, 60 years old. Mainly due to oral mucosal ulcer 1 week, systemic erythema 4 d, July 30, 2011 treatment. 2 weeks ago due to oral “Chinese medicine pill” for the treatment of facial paralysis, dizziness after 2 d, then discontinued. A week ago, oral mucosa with multiple ulcers with pain, no attention. Subsequent scrotal erythema with severe pruritus, 4 days before the red spot spread to the whole body, had given anti-allergy medication, but the effect is not good, outpatient to “erythema multiforme type drug rash ” income hospital. Past arthritis more than 30 years; lumbar disc herniation more than 20 years; hernia repair 20 years ago; mild fatty liver 20 years; facial paralysis 5 years.