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患者女,54岁。主因周身反复起红斑、鳞屑20余年于2014年4月23日由门诊以“银屑病”收入院。患者20余年前无明显诱因周身散在起红斑,上覆白色鳞屑,就诊于某诊所,诊断为银屑病,给予药膏外用(具体不详),效果欠佳,皮疹冬重夏轻,未予系统治疗。之后患者曾自行外用曲安奈德新霉素贴膏半年余,二三天更换1次,效果欠佳。外阴皮疹半年余,时有瘙痒等不适,自以为是银屑病皮疹,曾外用糖皮质
Female patient, 54 years old. Mainly due to repeated erythema throughout the body, scaly more than 20 years on April 23, 2014 from the clinic to “psoriasis ” income hospital. Patient more than 20 years ago, no obvious incentive to scattered around the whole body from the erythema, overlying white scales, treatment at a clinic, diagnosed with psoriasis, giving topical ointment (specific unknown), the effect is poor, the skin rash winter and summer light, no systematic treatment . After patients had their own topical triamcinolone acetonide paste more than six months, two or three days to replace 1, poor results. Vulvar rash more than six months, sometimes itching and other discomfort, self-righteous psoriasis rash, had external glucocorticoid