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患者男,43岁。6个月前左胸部出现粟粒大丘疹,伴瘙痒,搔抓后皮损破溃出血,且逐渐增大,于2004年11月15日至我科就诊。体格检查:系统检查未见异常。皮肤科检查:左胸部可见一花生米大红色增生物,中央破溃,表面覆黑色痂皮(图1),质硬,有轻度触痛,基底略有浸润。治疗:局麻下切除皮损。
The patient was 43 years old. Six months ago, a large miliary papule appeared in the left chest with pruritus, and the skin lesions were ulcerated and bleeding, and gradually increased. He was admitted to our department on November 15th, 2004. Physical examination: no abnormalities in the system examination. Dermatological examination: A large red growth organism in peanuts was seen in the left chest. The center was ulcerated and the surface was covered with black suede (Figure 1). The texture was hard, there was mild tenderness, and the base was slightly infiltrated. Treatment: removal of lesions under local anesthesia.