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男,38岁,1991年8月6日入院。5个月前无任何诱因右侧颈部出现一无痛性包块,约核桃大小,在当地用青霉素治疗1周,包块“缩小”,停药半月后腋窝、腹股沟相继出现无痛性包块伴全身低热。体温38℃左右,住市某医院用先锋霉素、氨苄青霉素包块无变化。2周前出现广泛性皮肤丘疹,以面部、四肢为著,奇痒。口腔、舌周缘、鼻前庭粘膜有形态与皮损相似的粘膜疹,压之退色为充血性疹。咽下不利、腹胀、尿少。既往无特殊病史。入院查体:T36.9℃,P90次/min,面具样面容,颈部活动稍受限,全身皮肤见广泛丘疹,以四肢面部为著,高出皮面,压之退色,部分融合成团,见抓痕,触摸时有增厚、疼痛感。口腔、舌周缘、鼻前庭粘膜亦见广泛粘膜疹。枕后、颏下、双侧颈部、腋窝、腹
Male, 38 years old, admitted to hospital on August 6, 1991. 5 months ago, there is no incentive for the right side of the neck appeared a painless mass, about the size of walnuts, with local treatment with penicillin for 1 week, mass “shrink”, half a month after the withdrawal of the armpit, groin have painless package Block with body heat. Body temperature around 38 ℃, live in a hospital with Vanguard ADM, ampicillin mass no change. 2 weeks ago, widespread skin papules to the face, limbs, itching. Oral, tongue periphery, nasal vestibular mucosa morphology and lesions similar mucosal rash, pressure of the fade to congestive rash. Ingested adversely, abdominal distension, oliguria. No special medical history. Admission examination: T36.9 ℃, P90 times / min, face-like mask, slightly limited neck activity, the body of the skin to see a wide range of papules to the limbs as the face, above the leather, the pressure of the fade, part of the integration into a group See scratches, touch when thickening, pain. Oral, tongue periphery, nasal vestibular mucosa also see a broad mucosal rash. Occipital, submental, bilateral neck, armpit, abdomen