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女,29岁,1985年4月19日入院,住院号436142。主要病史:入院前8天出现双下肢皮肤散在淡红色丘疹,伴痒感。皮疹逐渐增多,两天内发展到四肢、躯千。随后出现畏寒、发热,体温达38～40℃,咽痛而入院。患者1980年曾患肺结核,现有左侧胸膜增厚。体查:体温38.7℃,呼吸22次,脉搏116次,血压100/70。四肢、躯干散在结节性红斑,直径1cm左右,中央可见苍白区。右内踝部可见一巨大结节性红斑,直径约5cm,压痛(+),其中央可见皮肤浅表溃疡。浅表淋巴结不大。右眼颞侧局部睫状充血。上、下唇粘膜及软腭粘膜均有白色浅表溃疡,大小约1×1～1.5×2cm。咽充血(++)。左肺叩诊音稍浊, 语颤稍弱,听诊呼吸音减弱。心界不大,心律整,无杂音。肝脾不大。检验:血沉降106mm。蛋白电泳:γ-球蛋白25.8％,α_2-球蛋白11.9％。免疫球蛋白测定:IgG1850mg％,IgA200mg％,IgM130mg％。粘蛋白187mg％,纤维蛋白原510mg％。血LE细胞
Female, 29 years old, admitted to hospital on April 19, 1985, hospital number 436142. The main medical history: 8 days before admission appears double lower extremity skin scattered pink papules, itching. Rash gradually increased, developed to limbs within two days, body thousand. Followed by chills, fever, body temperature up to 38 ~ 40 ℃, sore throat and admitted to hospital. Patient had tuberculosis in 1980 and the existing left pleural thickening. Physical examination: body temperature 38.7 ℃, breathing 22 times, pulse 116 times, blood pressure 100/70. Limbs, torso scattered in the erythema nodosum, diameter of about 1cm, the central visible pale area. The right medial malleolus can be seen a large nodular erythema, diameter of about 5cm, tenderness (+), the central skin superficial ulcers can be seen. Superficial lymph nodes are not. Right temporal temporal ciliary congestion. Upper and lower lip mucosa and soft palate mucosa are white superficial ulcers, the size of about 1 × 1 ~ 1.5 × 2cm. Pharyngeal congestion (++). Left lung percussion sound slightly turbid, weak tremor, auscultation of breath sounds weakened. Little heart, heart rhythm, no noise. Small spleen and liver. Test: blood sedimentation 106mm. Protein electrophoresis: γ-globulin 25.8%, α 2-globulin 11.9%. Immunoglobulin measurements: IgG 1850 mg%, IgA 200 mg%, IgM 130 mg%. Mucin 187 mg%, Fibrinogen 510 mg%. Blood LE cells