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患者,女,36岁,因面部丘疹20年就诊。20年前患者双侧鼻翼出现肤色丘疹,随年龄增长,皮疹逐渐增多、增大,自觉瘙痒。家族史:患者父母及亲缘中无近亲婚配史,婚后育一子一女,子女无类似疾病。家系调查3代16人,发现患者弟弟24岁,自10岁始面部出现类似皮疹,但症状较患者轻,且不同意行皮肤组织病理学检查,故未明确诊断。患者体格检查:发育正常,各系统检查未见异常。皮肤科检查:双侧鼻
Patient, female, 36 years old, with facial papules for 20 years. Twenty years ago, patients with bilateral color nose pimples pimples, with age, rash gradually increased, increased, conscious itching. Family history: There is no history of marriage between parents and their relatives. After marriage, one child and one child have no similar disease. The pedigree surveyed 3 generations of 16 people and found that the younger brother of the patient was 24 years old. Since the age of 10, a similar rash appeared on the face, but the symptoms were lighter than those of the patients and did not agree with the histopathological examination of the skin. Therefore, no definite diagnosis was made. Patient physical examination: normal development, the system check no abnormalities. Dermatology examination: bilateral nose