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徐某,男性,77岁,农民。因腰痛服用壮腰健肾丸,7天后双下肢出现点状鲜红色斑疹,逐渐增多,部分融合成片状红斑,并逐渐变成暗红色及紫红色。后出现双侧踝关节肿胀、疼痛。于1987年4月4日入院。发病前未服其他药物,既往无药物过敏史。检查见双下肢有较密集的点状、片状紫红色斑疹,压之不退色。双上肢伸侧有散在点状出血斑,口腔粘膜未见皮疹。双侧踝关节有轻度红肿,活动正常。辅助检查。血常规正常,出血时间2min,凝血时间2min,血小板150×10~9/L。尿常规:蛋白+,白细胞8～10个/HP,红细胞6～8个/HP,颗粒管型1～2
Xu, male, 77 years old, farmer. Due to low back pain taking Zhuangyaojianshenwan, there were spotted red spots on both lower extremities after 7 days, and gradually increased. Some were integrated into patchy erythema and gradually turned dark red and purple. After the bilateral ankle swelling, pain. Admitted to hospital on April 4, 1987. Before the onset of other drugs, no past history of drug allergy. Check to see more dense lower limbs punctate, patchy purple rash, pressure does not fade. Extend the upper extremity extensor spot spot bleeding, oral mucosa no rash. Bilateral ankle mild swelling, normal activity. Auxiliary examination. Normal blood, bleeding time 2min, coagulation time 2min, platelet 150 × 10 ~ 9 / L. Urine routine: protein +, white blood cells 8 to 10 / HP, red blood cells 6 to 8 / HP, particle tube type 1 to 2