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病例:女,6岁。因间断发热、皮肤红斑7月余,浮肿2周入院。入院前经数家医院诊断“结节性红斑”,服强的松4月,体温正常,红斑消退。停服2周后发热与皮肤红斑再现。入院体检:体温39.7,颜面浮肿、红斑,双眼睑浮肿、皮肤发紫,脱发。心肺听诊无异常。腹膨隆,肝肋下1cm 剑下3cm,质中等,脾肋下未触及。双下肢皮肤散在暗褐色大小不等皮疹后色素沉着。腰部、会阴部皮肤硬肿、红斑。双前臂和双下肢张力性浮肿,触压痛明显。外周血红细胞4.38×10~(12)/L,血红蛋白126g/L,白细胞
Case: female, 6 years old. Due to intermittent fever, skin erythema more than 7 months, edema 2 weeks admitted. Before admission by several hospitals diagnosed “nodular erythema”, service strong pine in April, normal body temperature, erythema subsided. Stop taking 2 weeks after fever and skin erythema reproduction. Admission medical examination: body temperature 39.7, facial edema, erythema, double eyelid edema, skin purple, hair loss. Cardiopulmonary auscultation no abnormalities. Abdominal bulge, liver ribs 1cm 3cm under the sword, medium quality, spleen ribs did not touch. Double lower extremity skin scattered dark brown size rash after pigmentation. Waist, perineal skin sclerosis, erythema. Double forearm and lower extremity tension edema, tenderness pain significantly. Peripheral blood red blood cells 4.38 × 10 ~ (12) / L, hemoglobin 126g / L, white blood cells