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患儿女,10岁。1987年5月25日按计划免疫程序常规接种麻疹疫苗0.2ml,批号8656。翌晨四肢、躯干及手掌等部位出现皮疹。至6月12日皮疹有加重趋势,随家长来咨询。既往史:曾患“水痘”,否认荨麻疹及过敏史。免疫接种史:曾按免疫程序接种卡介苗、小儿麻痹糖丸等,上次麻疹疫苗接种时间在1985年。历次预防接种后均无异常反应。家族史:父母及直系亲属均无皮疹或过敏史。查体:发育良好,无发热,扁桃腺无肿大,下颌淋巴结无肿大。皮疹特征:发际、耳后、面部可见散在单个斑丘疹,色红、压之退色,四肢皮疹较密集,单个皮疹直径1～3mm,肘、膝部皮疹有融合,边缘清楚,凸出正常皮肤,刺痒,搔之有
Children with children, 10 years old. May 25, 1987 According to the planned immunization routine routine measles vaccine 0.2ml, batch 8656. The following morning limbs, torso and palms and other parts of the rash. To June 12 rash aggravating trend, with parents to consult. Past history: Had “chickenpox”, denied urticaria and allergy history. Vaccination history: vaccinated according to the immunization program BCG, poliomyelitis pill, the last measles vaccine in 1985. No abnormal reaction after vaccination. Family history: No history of rashes or allergies in parents and immediate family members. Physical examination: well-developed, no fever, no swelling of the tonsils, mandibular lymph nodes without swelling. Rash features: hair, ears, the face visible scattered single rash, color red, pressure of the fade, rash more dense limbs, a single rash diameter of 1 ~ 3mm, elbow, knee rash fusion, clear edge, protruding normal skin Pruritus, scratch it