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37岁男性,14月前始有阵发性双眼视物不清,诊为“球后视神经炎”,予抗生素、激素、维生素等药物治疗,有所恢复,间有意识模糊,胡言乱语,同时手背,面及上胸等暴露部位日晒后发生弥漫性水肿性红斑,伴痛痒,继之出现大水泡,破裂后有液体渗出,以后干燥结痂。既往无结核等病史,嗜酒,每日饮白酒250g以上已10余年。查体。眼脸及口唇周围色素沉着,面颊,上胸及四肢末端暴露部位皮肤粗糙、覆有干燥鳞屑,并有裂隙及散在黑色痂片,双上肢,手背尚有散在片
37-year-old male, 14 months before the onset of paroxysmal binocular vision is not clear, diagnosed as “retrobulbar optic neuritis” to antibiotics, hormones, vitamins and other drug treatment, some recovery, between the ambiguous, nonsense, at the same time Diffuse edematous erythema, accompanied by painful itching, followed by blisters, rupture of fluid exudation, dry scab after exposed parts of the back of the hand, face and upper chest. Previous non-tuberculosis and other medical history, alcohol, daily drinking liquor 250g more than 10 years. Physical examination. Eyes and face around the lip and pigmentation, cheeks, upper chest and extremities exposed parts of the skin rough, covered with dry scales, and cracks and scattered in the black scabies, upper extremities, there are still scattered on the back of the hand