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代某某,男24岁,教员,于1985年11月23日,因双腋、双腹股沟皮肤黑粗7个月入院。初发为双腋、双腹股皮肤干黑,粗燥增厚,微痒,相续延及全身大部皮肤。上腹隐痛2年,有饥饿痛及倒酸打呃,无黑粪史。体格检查:腹部剑突下可扪及3×2cm较硬包块一个,活动差,有压痛。皮肤情况:双腋、双腹股沟、会阴片黑褐色增殖性疣状乳头瘤性损害、干燥粗糙,皮纹增宽变深,皱褶如小沟(图1)。面、颈、躯干、四肢散
On behalf of a certain, male 24 years old, teachers, on November 23, 1985, due to the double sulcus, double groin skin black rough 7 months admission. The first hair is a double blister, double abdominal stock skin dry black, thick dry thickening, itching, and extended to the body most of the skin. Abdominal pain for 2 years, there is hunger pain and pour acid, no history of black dung. Physical examination: The abdomen xiphoid can be palpable and a hard 3x2cm mass, poor activity, tenderness. Skin conditions: double septum, double inguinal, perineal slices, dark brown, proliferative verrucous papillomatous lesions, dry and rough, widening and darkening of striae, wrinkles such as minor sulcus (Figure 1). Face, neck, torso, limbs scattered