患者女,45岁。因右手皮损、手臂上抬困难,伴发热3d,于2000年12月20日来我科就诊。患者1个月前曾被猫咬伤,当时注射了狂犬疫苗,局部无感染。体格检查:T38.8℃,神志清,精神差。皮肤科检查:右手拇指外侧见一脓性丘疱疹,内侧有一表皮破溃的脓性丘疱疹(图1)。右臂上抬受限,但皮肤外 Female patient, 45 years old. Due to the right hand skin lesions, arm lift difficulties, with fever 3d, December 20, 2000 to our department. The patient was bitten by a cat one month ago and was vaccinated with rabies at that time, with no local infection. Physical examination: T38.8 ℃, clear mind, poor spirit. Dermatology examination: see the right thumb outside a purulent mound herpes, inside a ulcerated pustular herpes eczema (Figure 1). Right arm lift limited, but outside the skin