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患者女,41岁,因“左耳起疹6个月”于2009年7月24日来东风总医院皮肤科就诊,患者自诉于6个月前无明显诱因左耳开始出现褐色皮疹,如绿豆大小,偶痒,初未在意,未作治疗,皮疹随时间逐渐增大。患者听力正常,无耳鸣,既往体健,家族中无类似疾病史。入院体查:生命征平稳,一般情况可,双耳听力正常,心肺腹无异常。皮肤科情况:左耳内侧隐窝见一约1cm×1cm大小暗褐色类椭圆形斑块,边界清楚,表面凹凸不平,轻度角化,呈乳头瘤样增生(图1)。实验室检查:血尿常规、
Patient female, 41 years old, because of “left ear rash 6 months ” in July 24, 2009 to Dongfeng General Hospital dermatology clinic, patient self-indictment 6 months ago no obvious incentive left ear began brown rash, Such as mung bean size, even occasional itch, did not care at the beginning, no treatment, rash gradually increased over time. Patients with normal hearing, no tinnitus, previous physical health, no similar family history of the disease. Admission physical examination: stable vital signs, the general situation can be, both ears normal hearing, no abnormal heart and lung abdomen. Dermatology: see the inside of the left ear recess about 1cm × 1cm size dark brown oval-like plaques, the boundary is clear, the surface uneven, mild keratosis, showed papillomatous hyperplasia (Figure 1). Laboratory tests: hematuria routine,