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患者:张××,女性,十五岁,81年8月15日就诊。主诉面部出现红色皮疹、伴抽搐十年。患者生后五岁于下颌部出现红色皮疹、后波及到两颊部,鼻部,近五年来发现颈部,肩部、出现白斑。两侧股部出现大块皮疹,去年又发现右手中指旁出现一小肿物。并于生后5个月开始发现两手抖动、眼发呆,至五岁左右两手足抽搐频发,每次持续二、三分钟。七岁左右曾癫痫大发作,意识丧失,近一年来抽搐发作频繁。平素在校学习成绩差,反应迟钝,家族中近亲无明显类似病史。查体:表情淡漠,面部两侧鼻唇沟可见米粒大散在红色扁平丘疹,右侧颊部及两侧股部可见椭园形高出皮面褐色鲨鱼皮斑,大者4×1.5cm,小者2.5×1cm。肩颈部可见大量皮色带蒂疣赘,间有豆粒大色素减退斑。右手中指甲旁可见指甲大高出皮面小肿物、质较软。
Patients: Zhang × ×, female, 15 years old, August 15, 1981 treatment. The main complaint facial red rash, with convulsions for ten years. Five years after birth in patients with red rashes appeared in the lower jaw, after affecting two cheeks, nose, neck, shoulders, white spots appear in the past five years. Large rashes on both sides of the femur, found a small mass next to the middle finger on his right hand last year. And 5 months after birth began to find two hands shaking, eyes daze, until the age of about five hands and feet convulsions, each lasting two or three minutes. Seven years old had epileptic seizures, loss of consciousness, seizures frequent in the past year. Usually poor academic performance at school, unresponsive, no obvious similar family history of close relatives. Physical examination: expression of indifference, the face can be seen on both sides of the nose and labia cereal scattered in the red flat papules, the right cheek and both sides of the femoral section visible oval brown leather sharkskin above the skin, the larger 4 × 1.5cm, small 2.5 × 1cm. Shoulder and neck visible a large number of skin pedicel warts, between the large pigment depigmentation spots. Visible nail nails next to the right hand higher than the small nodules, soft quality.