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1 病例报告 女,50岁。主因双下肢反复起紫红色皮疹6a,6a前无明显诱因双侧小腿出现紫红色斑点,斑片,无痒痛。间歇性发作,与饮食无关。就诊于外院,诊断为:过敏性紫癜。给予抗过敏治疗,疗效不佳。后不明原因反复发作。追问病史:患者自1996年以来,出现口干,眼异物感,眼泪减少并逐渐出现双下肢关节疼痛。体格检查:消瘦,面色灰暗。全身淋巴结未见明显肿大,心,肺功能无明显异常。实验室检查:WBC 5.1×10~9/L,N0.68,L0.32,E0.022,PLT163×10~9/L。尿常规正常,便常规正常。
1 case report female, 50 years old. Mainly because of repeated lower extremities purple rash 6a, 6a no obvious incentive before the bilateral calf purple spots, patches, no itch pain. Intermittent attacks, has nothing to do with the diet. Visiting the hospital, diagnosed as: allergic purpura. Anti-allergy treatment, poor efficacy. After repeated attacks for unknown reasons. Question history: patients since 1996, dry mouth, eye foreign body sensation, decreased tears and gradually lower extremity joint pain. Physical examination: weight loss, looking pale. No significant enlarged lymph nodes, heart, lung function no obvious abnormalities. Laboratory tests: WBC 5.1 × 10 ~ 9 / L, N0.68, L0.32, E0.022, PLT163 × 10 ~ 9 / L. Normal urine, it is normal.