论文部分内容阅读
例1,男45岁。因面部红斑9月余,于1997年9月27日入院。9月前因牙痛服用阿莫西林,2片,每日3次,治疗2天。其后出现面部红斑,无瘙痒,局部微感不适,红斑持续存在,与日照无关。曾在皮肤科就诊,诊断为“日光性皮炎”,“酒渣鼻”,治疗无效。否认有发热,关节酸痛史。体检:一般情况佳,面部可见片状红斑,蝶形分布,边界不清,压之不退色。颈部少许红斑,形态同上。颌下左侧触及黄豆大小淋巴结1枚,质软,活动度大,无压痛。咽喉部无异常,心肺正常,肝脾未及。实验室检查:血尿粪常规及粪潜血试
Example 1, male, 45 years old. Due to facial erythema in September more than, in 1997 September 27 admission. 9 months ago because of toothache taking amoxicillin, 2 tablets, 3 times a day for 2 days. Followed by facial erythema, no itching, local micro-discomfort, erythema persist, has nothing to do with the sunshine. Have been in dermatology clinic, diagnosed as “solar dermatitis”, “rosacea”, the treatment is invalid. Denied a fever, joint pain history. Physical examination: the general situation is good, the face visible flaky erythema, butterfly-shaped distribution, the boundary is unclear, the pressure does not fade. A little neck erythema, the same shape. Jaw on the left side of the lower reaches of the size of a lymph node, soft, activity, no tenderness. No abnormal throat, normal heart and lungs, liver and spleen not yet. Laboratory tests: hematuria stool routine and fecal occult blood test