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患者男,54岁,本市市郊人,农民。因发热7天,双下肢出血性皮疹1天于1991年7月8日来诊。门诊拟诊为“过敏性紫癜”后留察,并即用肾上腺糖皮质激素治疗无效而收入院。体检:T38.5℃,P90次,R22次,BP13/10kPa。神清,全身浅表淋巴结肿大,结膜无充血。心肺(一)。肝、脾肋下未触及。右侧臀部皮肤可见-0.5cm×0.5cm典型黑焦痂。双下肢见密集的红色出血性皮疹,形状大小不一。左下肢之皮疹
Male patient, 54 years old, the city’s suburbs, peasants. 7 days due to fever, double lower extremity hemorrhagic rash 1 day July 8, 1991 visit. Outpatient consultation diagnosed as “allergic purpura” after the observation and use of adrenal glucocorticoid treatment ineffective income hospital. Physical examination: T38.5 ℃, P90 times, R22 times, BP13 / 10kPa. Clear, systemic superficial lymph nodes, conjunctival hyperemia. Heart and lung (a). Liver, spleen ribs untouched. Right hip skin can be seen -0.5cm × 0.5cm typical black eschar scars. See the lower limbs dense red hemorrhagic rash, the shape of different sizes. Left lower extremity rash