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1病例摘要患者男,80岁。因全身红斑、大疱伴疼痛1个月,四肢肌肉无力伴疼痛5 d,于2014年10月10日由门诊收治入院。患者1个月前发现肺部及肝脏肿物,口服多种中药(具体不详)后额部出现红斑,皮疹逐渐加重,并由上至下蔓延至胸部、腹部及双下肢,伴疼痛。2周前在皮肤红斑基础上出现水疱及大疱,水疱破溃后形成糜烂面、渗出,部分结痂,疼痛渐加重,同时出现发热,T最高达38.4℃,无头痛、关节痛及其他不适。5 d
1 case summary Male patient, 80 years old. Due to systemic erythema, bullae with pain for 1 month, limb weakness with pain 5 d, on October 10, 2014 admitted to the clinic. Patient 1 month ago found lung and liver tumor, oral administration of a variety of traditional Chinese medicine (specific unknown) after the forehead erythema, rash gradually increased and spread from top to bottom chest, abdomen and both lower extremities with pain. Blisters and bullous blisters appeared on the basis of skin erythema 2 weeks ago. The blisters ruptured to form an erosive surface. Exudation and some scabs were gradually exacerbated. At the same time, fever was observed, with a maximum of 38.4 ° C and no headache, joint pain and other Discomfort. 5 d