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病例 患者男性,26岁,因双上臂及两耳后皮肤增厚,表面呈桔皮样,伴搔痒10年来诊。10年前,肘、上臂、右肩、耳后,右腰及小腿相继出现群簇分布、菜子大小的红色疹子,伴阵性搔痒。两年后两耳后、双肘.双上臂、右肩及右腰部的皮损下发生指头大小的多个结节,渐增大和融合,无疼感,而其表面皮肤增厚呈桔皮样改变。同时颈腋及腹股沟淋巴结肿大如拇指头大小,不疼不红。曾诊断为嗜伊红细胞增多性综合征,服强的松和环磷酰胺获暂时性缓解。 检查 一般情况良好。表浅淋巴结肿大,无压
Male patient, aged 26, was found to have an orange peel on the surface due to thickening of the upper arm and both ears after 10 years of treatment. Ten years ago, elbow, upper arm, right shoulder, ear, right waist and leg appear cluster distribution, colza red rash, with itching. Two ears after two years, elbows. Double upper arm, right shoulder and right lower skin lesions occurred under the finger size of multiple nodules, increasing and integration, no pain, and the surface of the skin was thick orange peel-like change. At the same time neck axillary and inguinal lymph nodes such as thumb size, does not hurt not red. Have been diagnosed with eosinophilia syndrome, prednisone and cyclophosphamide were temporarily alleviated. Check the general situation is good. Superficial lymph nodes, no pressure