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临床资料患儿,男,69天。主因头面、躯干红斑50 d,加重15 d,于2010年11月4日就诊。患儿出生15 d后发现额部一蚕豆大的环形红斑,未经治疗皮疹的逐渐扩大、增多,延及头面及躯干部,无发热;在当地医院就诊曾给予外用药(莫匹罗星等)治疗,效果欠佳。患儿系第2胎第2产,足月顺产,母乳喂养。其母自述无红斑狼疮病史,曾有关节疼痛史,对光敏感,无明确服药史。家族中无类似疾病患者。体格检查:一般情况可,各系统检查无异常。皮肤科检查:额头、颜面、躯干散在多个不规则圆形或卵圆形红色及紫
Clinical data of children, male, 69 days. Mainly due to the first side, the trunk erythema 50 d, increased 15 d, on November 4, 2010 treatment. Children born 15 days after the discovery of large portions of a large ring of erythema, the untreated rash gradually expanded, increased, extending to the head and torso, no fever; had given local hospital treatment (mupirocin, etc. ) Treatment, the effect is not good. The second line of children with the second production, full-term natural delivery, breastfeeding. His mother read the history of non-lupus, had joint pain history, sensitive to light, no clear medication history. No similar disease in the family. Physical examination: the general situation can be, the system check no abnormalities. Dermatological examination: forehead, face, trunk scattered in a number of irregular round or oval red and purple