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临床资料患者,女,44岁。因左耳垂红斑、丘疹伴瘙痒20年,于2012年8月就诊。20年前因穿耳洞后,左耳垂出现红色丘疹,自觉轻微瘙痒,皮损逐渐增多融合成斑块,在当地医院就诊,按瘢痕疙瘩给予外用糖皮质激素治疗,疗效欠佳。近1年来,皮损瘙痒加剧,面积增大,左耳后皮肤出现红色丘疹和斑块。患者及其家族成员中无结核病史及其他病史。皮肤科检查:左耳垂及耳后可见暗红色丘疹及斑疹,融合成3cm×5 cm大小的浸润性斑块(图1),质硬、无压痛。
Clinical data, female, 44 years old. Due to left ear lobe erythema, papules with itching 20 years, in August 2012 treatment. 20 years ago after piercing the ear hole, the left ear lobe red papules, consciously mild itching, gradually increased skin lesions fused into plaques, treatment at a local hospital, according to keloid topical glucocorticoid treatment, poor efficacy. Over the past year, skin lesions itching aggravated, an area increased, the left ear skin red papules and plaques. Patients and their family members have no TB history and other medical history. Dermatology examination: the left earlobe and ears visible dark red papules and rash, integration into the size of 3cm × 5cm infiltrative plaque (Figure 1), hard, no tenderness.