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病例介绍女性,56岁。因颈部皮损约5周于1986年4月29日入我院。患者于入院前35d发现右颈部出现铜钱大皮损,逐渐增大,不痛不痒,后在左颈部亦出现同样皮损,在某院皮肤科诊断为Sweet综合征,当时WBC4.5×10~9/L,N0.44,先用螺旋霉素治疗无效,后给倍他米松0.5mg3次/d,和消炎痛25mg3次/d口服,共5d,皮损一度停止发展。发病后3周有咽痛,不能进水,并有短时发热感,但当时未测体温。入院前10d,发现WBC55×10~9/L,有幼稚细胞。病人在室内工作,病前亦无感染病史。体检:T36℃,贫血貌,皮肤无出血点,左右颈部各有一4×5cm~2和5×6cm~2大小的暗红斑块,在后颈部融合,红斑中心有轻度脱屑和色素沉着,周边隆起,表面呈乳头状,可见假性水疱,无触痛。浅表淋
Case description Female, 56 years old. Due to cervical lesions about 5 weeks in April 29, 1986 into our hospital. Patients 35d before admission found that the right side of the neck large copper loss lesions, gradually increased, itching, after the same in the left and right lesions also appeared in a hospital dermatology diagnosis of Sweet syndrome, when WBC4.5 × 10 ~ 9 / L, N0.44, first spiramycin treatment ineffective, after giving betamethasone 0.5mg3 times / d, and indomethacin 25mg3 times / d orally, a total of 5d, once the development of skin lesions stop. 3 weeks after onset of sore throat, can not water, and a short-term fever, but did not test the body temperature. 10d before admission, found WBC55 × 10 ~ 9 / L, naive cells. The patient is working indoors and has no history of infection before his illness. Physical examination: T36 ℃, anemic appearance, no bleeding on the skin, the left and right neck have a 4 × 5cm ~ 2 and 5 × 6cm ~ 2 size of the dark red plaques in the posterior neck fusion, erythema center mild scaling and Pigmentation, the surrounding bulge, papillae surface, showing pseudo-blisters, no tenderness. Superficial shower