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患儿,女,9岁。因发热、皮疹45天诊断未明,来我院求治。缘患儿于42天前浴后突然发烧39.8℃,翌日颜面、双手足出现红疹,皮疹渐遍布四肢躯干、两手足及右肘,双膝关节疼痛、肿胀。体温持续在38～40.5℃。曾用青、链霉素,庆大霉素及解热药治疗均无效。体格检查:体温39℃,脉搏108次/分,呼吸24次/分,血压96/70mmHg,神清合作,颜面、胸腹及四肢密布红色麻疹样皮疹,个别部位有融合,未见水泡及结痂。双手足皮肤弥漫性肿胀,手掌、足背有暗红色斑,有压痛。双指趾呈棱形肿胀,其末端有膜样脱屑,双下肢膝关节以下有硬性水肿,右肘及双膝
Children, female, 9 years old. Because of fever, rashes 45 days of diagnosis is unknown, to our hospital for treatment. Children with fever in the bath 42 days ago suddenly fever 39.8 ℃, the next day the face, hands full of rash, rashes gradually spread around the trunk, legs and right elbow, knee pain, swelling. Body temperature continued at 38 ~ 40.5 ℃. Have used green, streptomycin, gentamicin and antipyretic drugs were ineffective. Physical examination: body temperature 39 ℃, pulse 108 beats / min, breathing 24 beats / min, blood pressure 96 / 70mmHg, Shen Qing cooperation, face, chest and abdomen and limbs densely covered with red measles-like rash, fusion of individual parts, no blisters and knots scab. Diffuse swelling of both hands and feet, palms, dorsal dark red spots, tenderness. Double finger toe was prismatic swelling, the end of membrane-like desquamation, double lower extremity knee hard edema below the right elbow and knees