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患者男,55岁。因多食多尿,消瘦4月伴颜面发红1月于1982年12月28日入院。于1982年9月初无明显诱因食欲亢进,易饥饿,进行性消瘦,四肢无力。尿量增多,尿污染衣裤后发白。近月余持续性颜面发红,不痛不痒。经对症治疗效果不佳而入院。检查:体温37.3℃,血压110/70毫米汞柱,消瘦,巩膜无黄染,颜面皮肤发红,以额部及下颌部尤明显,呈醉酒样,压之稍退色,无斑丘疹,全身其他部位皮肤未见以上改变,心肺正常,肝肋下1.0厘米,质软。化验:血红蛋白11克％,红细胞489万白细胞5000,空腹血糖317毫克％,尿糖+++。血脂分析:胆固醇
Male patient, 55 years old. Due to eat more urine, weight loss in April accompanied by facial red January on 1982 December 28 admission. No significant incentive in early September 1982 appetite hyperthyroidism, easy to hunger, progressive weight loss, weakness. Increased urine output, urine polluting clothes after the white. Last month, more than persistent redness, itching. The symptomatic treatment ineffective and admitted to hospital. Check: body temperature 37.3 ℃, blood pressure 110/70 mm Hg, weight loss, Sclera no yellow dye, facial skin redness, especially in the forehead and lower jaw, was drunk, the pressure of a little fade, no rash, systemic other No change in the skin above the site, normal heart and lung, hepatic ribs 1.0 cm, soft. Laboratory tests: 11 grams of hemoglobin, 489 million white blood cells of erythrocytes 5000, fasting blood glucose 317 mg%, urine sugar + + +. Lipid analysis: Cholesterol