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患者:男,22岁,湖北省谷城县紫金区林站炊事员。患者于5年前左前臂伸侧出现一米粒大小的丘疹,因痒搔抓,继之出血并化脓感染。皮损逐渐发展形成银元大溃疡,有脓液流出,并觉周围皮肤温度较高,有灼热感,不痛。皮损:左前臂伸侧中,下1/3,交界处见一比银元略大的溃疡面,境界清楚,周围暗红色,扪诊有浸润,在溃疡面上有呈蜂窝状的肉芽组织,表面可见米粒大的脓点,挤压皮损,有白色略稠脓液流出,
Patients: male, 22 years old, Zicheng District, Hubei Province Valley County Railway Station cooks. Five years ago, the patient developed a one-meter-sized papule extending into the left forearm, followed by hemorrhage and purulent infection. The gradual development of skin lesions to form a large silver dollar ulcer, pus outflow, and feel the skin around the higher temperature, burning sensation, no pain. Skin lesions: the left forearm extensor in the next 1/3, at the junction to see a slightly larger than the silver dollar ulcer surface, the state clearly around the dark red, palpable with infiltration in the ulcer surface was honeycomb granulation tissue, The surface of the large pus can be seen grain, squeeze the skin lesions, a little thick white pus outflow,