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患者男， 47岁。因皮肤干燥脱屑、毛发脱落 30年，皮损逐渐发展遍及全身 10余年，于 1999年 12月 13日入院。患者自 17岁始无明显诱因右侧头顶部分毛发脱落，躯干及四肢出现散在鳞屑性斑片，就诊于当地医院，诊断为斑秃、体癣。给予口服灰黄霉素治疗无效。此后病情渐加重， 10
Male patient, 47 years old. Due to dry skin and scaling, hair loss for 30 years, skin lesions gradually developed throughout the body for more than 10 years and was admitted on December 13, 1999. From the age of 17, the patient had no obvious cause of hair loss on the right side of the head and scattered scales on the trunk and extremities. He was diagnosed as alopecia areata and tinea at the local hospital. Oral griseofulvin treatment failed. Since then, the condition has become worse, 10