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1 临床资料患者女,62岁。因“全身红色丘疹、斑块3年余,加重伴胸闷、喘息3月”于2016年3月就诊。患者3年余前无明显诱因于全身出现红斑、丘疹,压之可褪色,皮疹逐渐发展成浅表浸润性斑块,无伴瘙痒、疼痛,在外院多次就诊,诊断不明,给外用药(具体不详)治疗,无好转。病情中体重无明显变化。既往有3年“糖尿病”病史。否认“高血压、冠心病”等。系统检查:一般情况稍差,浅表淋巴结无肿大,眼睑结膜无充血,双肺叩诊呈清音,双肺呼吸音粗,未闻及干、湿性啰音,口腔黏膜
1 Clinical data Female patient, 62 years old. Due to “red papules whole body, plaque more than 3 years, increased with chest tightness, wheezing March ” in March 2016 treatment. Patients with no obvious cause more than 3 years before the onset of systemic erythema, papules, pressure can fade, the rash gradually developed into superficial infiltrative plaque, without itching, pain, multiple visits in the hospital, diagnosis is unknown, to external use ( Specific unknown) treatment, no improvement. No significant change in the weight of the disease. Past 3 years “Diabetes ” history. Denied “high blood pressure, coronary heart disease ” and so on. System check: The general situation is slightly worse, superficial lymph nodes without swelling, eyelid conjunctiva no congestion, lung percussion was clear voice, lung breath sounds coarse, unheard of, wet rales, oral mucosa