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患者,女,45岁。因“全身瘙痒、水疱3+月,加重伴疼痛3+天”于2014年3月28日门诊以“天疱疮”入院。入院前曾两次于当地某医院住院治疗,分别接受甲泼尼龙琥珀酸钠60mg、120mg/日静滴等治疗,皮损完全消退,予激素用量调整为“醋酸泼尼松片口服,每日6片”出院,但患者未按医生嘱托定期复诊,服药1周后自行停用醋酸泼尼松片。症见:全身可见密集水疱,部分水疱破溃,渗出明显,伴瘙痒、疼痛。精神焦虑,饮食尚可,睡眠差,大便干结,小便黄。舌红,舌体适中,苔少,脉细数。
Patient, female, 45 years old. Because of “systemic itching, blisters 3 + months, aggravating with pain 3 + days” in March 28, 2014 outpatient to “pemphigus ” admitted. Before hospital admission twice in a local hospital for treatment, were receiving methylprednisolone sodium succinate 60mg, 120mg / day intravenous infusion and other treatment, the skin lesions completely subsided, to adjust the amount of hormones for “prednisone acetate tablets orally, each Day 6 ”Discharged, but the patient did not follow the doctor’s advice on a regular basis, take their own medicine after 1 week discontinued prednisone acetate tablets. Zheng Jian: The body visible dense blisters, some blisters rupture, exudation obvious, with itching, pain. Mental anxiety, diet is acceptable, poor sleep, dry stool, yellow urine. Red tongue, tongue moderate, less moss, pulse breakdown.