论文部分内容阅读
1 病案举例 某男,38岁,因饮酒后双小腿起红斑、丘疹、伴瘙痒,皮损很快转为水疱、血疱,在区级医院诊断为“病毒性疱疹”,静点病毒唑、地塞米松1周未见好转。皮疹再次增多,疼痛明显,影响行走,继之诊断“血管炎”,口服螺旋霉素,外用红霉素软膏,静点地塞米松每日5g,用药6d,皮损炎症减轻。近因饮酒后丘疹水疱再次增多而来诊。发病1个月,无发热及全身症状,既往健康、无特殊接触史及食物、药物过敏史。查体:双下肢散在红斑、丘疹、水疱、尼氏征(一),溃疡大
1 case of a case of a male, 38 years old, after drinking double leg from the erythema, papules, itching, skin lesions quickly blisters, blood blisters, at the district-level hospitals diagnosed as “viral herpes” Dexamethasone 1 week did not improve. Rash again increased pain significantly affect the walking, followed by the diagnosis of “vasculitis”, oral spiramycin, topical erythromycin ointment, dexamethasone daily 5g, medication 6d, lesion inflammation alleviate. Nearly due to alcohol after the pimple blisters again to the clinic. The onset of 1 month, no fever and systemic symptoms, past health, no special history of exposure and food, drug allergy history. Examination: scattered lower extremities erythema, papules, blisters, Niger’s sign (a), large ulcers