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1982年初,我院收治了4例麻疹伴发全身水疱,部份呈大片融合,疹退时有大片表皮脱落,现报导如下。病例资料 4例中男女各2例。年龄1.5~6岁。在1982年1~2月发病。过去未患过麻疹,亦未接受麻疹疫苗接种。3例有口腔粘膜麻疹斑(1例未记录)。在麻疹病程中,皮肤出现水疱是在病期第4~7天间,一例在第12天。水疱先出现在四肢、腰、腹或胸、背,再延及全身。水疱大小不等,约3~5mm,部份大片融合,如烫伤的水疱。约3天后水疱渐渐干涸,大片表皮脱落,脱落面皮肤红嫩,无疤痕形成。讨论此4例患者都符合麻疹的发病经过,住地都有麻疹流行,故可诊断为麻疹。4例患者都出现大片互相融合的水疤,大片脱皮,初时我们以为并发剥
In early 1982, our hospital admitted 4 cases of measles accompanied by systemic blisters, some were large fusion, rash large epidermal shedding, are reported as follows. Case information in 4 cases of 2 men and women in each case. Age 1.5 to 6 years old. In 1982 January to February onset. No measles in the past, nor measles vaccination. Three cases had mucocutaneous mucosa (one case was not recorded). In the course of measles, skin blisters are in the period of 4 to 7 days, an example on the 12th day. Blisters first appeared in the limbs, waist, abdomen or chest, back, then extended to the body. Blisters ranging in size, about 3 ~ 5mm, some large integration, such as scalded blisters. About 3 days after the blisters gradually dried up, large pieces of epidermis off, off the surface of the skin red and red, no scar formation. Discussion The 4 patients were all in line with the incidence of measles, live in all have measles epidemic, it can be diagnosed as measles. 4 patients have large pieces of water scars merged with each other, large peeling, initially thought we and