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1临床资料患者男,25岁。双下肢散在分布瘀点1年,加重并泛发至双上肢4天。1年前,无明显诱因患者的双下肢出现散在分布的瘀点,逐渐增多,外院治疗(具体不详)皮损可消退,但易于复发。4天前,无明显诱因双下肢再次出现密集分布的瘀点瘀斑,迅速增多,累及双上肢,以“过敏性紫癜”收入院。体检:神志清,精神可,系统检查未见明显异常。自发病以来,睡眠及饮食正常,既往体健,否认肝炎结核等传染病史。皮肤科情况:四肢
1 Clinical data Patient male, 25 years old. Both lower extremities scattered petechia 1 year, aggravating and pan-hair to the upper limbs 4 days. A year ago, there was a scattered distribution of petechia in both lower extremities without obvious predisposition, which gradually increased. The treatment of the outer hospital (with no specific details) could lessen the skin lesions but could easily recur. 4 days ago, no obvious incentive to appear again in both lower extremities petechia ecchymosis, rapid increase, involving both upper extremities to “allergic purpura ” income hospital. Physical examination: conscious mind, spirit can be, no obvious abnormalities in the system examination. Since onset, normal sleep and diet, past physical health, denied the history of infectious diseases such as hepatitis and tuberculosis. Dermatology: limbs