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患者男,72岁。胸部斑块20年,局部增生、溃疡伴疼痛2年,于2014年4月10日来诊。患者20年前胸部左侧出现一约黄豆大斑疹,不痒不痛,皮损面积逐渐向周围扩大,呈环状。患者自行外用多种药膏(包括抗真菌类、糖皮质激素类药膏及一些中药药膏等,具体名称不详),病情无明显缓解。2年前斑块内出现结节,触痛明显,并出现糜烂及溃疡,时有脓血性分泌物。曾用多种物理疗法及外用药物治疗(具体不详),效果均不理想。既往体健,家族中无类似疾病患者。
Male patient, 72 years old. Chest plaques for 20 years, local hyperplasia, ulcer with pain for 2 years, on April 10, 2014 to the clinic. 20 years ago, the patient appeared on the left side of the chest a large soybean spotted, itch does not hurt, the lesion area gradually expanded to the surrounding ring was. Patients with a variety of external use of ointment (including antifungal, glucocorticoid ointment and some traditional Chinese medicine ointment, the specific name is unknown), the disease was not significantly alleviated. 2 years ago, nodules appeared in the plaque, tenderness, and erosion and ulceration, when purulent discharge. Have used a variety of physical therapy and topical drug treatment (specific unknown), the effect is not satisfactory. Past physical health, no similar family disease patients.