不规则发热,皮疹,淋巴结肿大——思考病例(35)

• 出 处: 新医学
• 发表日期: 1984年10期
• 关键词: 不规则发热 皮疹 淋巴结肿大 全身酸痛 普鲁卡因 面部潮红 腕关节 红色丘疹 强的松龙 扑尔敏

病历摘要徐××,男,63岁,苏州籍,工人。因不规则发热2月余伴皮疹及淋巴结肿大于1980年4月12日入院。患者于1月20日开始畏寒、发热,全身酸痛不适,翌日面部潮红及水肿,继之两下肢及躯干出现红色丘疹。在医务室治疗,用庆大、氯霉素抗感染,强的松、扑尔敏抗过敏,1周后热退,皮疹渐消,但面部红肿未见好转,并感四肢乏力,全身关节酸痛,以两腕关节为著。3月初用强的松龙及普鲁卡因作两手

Medical records Xu × ×, male, 63 years old, Suzhou nationality, workers. Due to irregular fever in February with rash and swollen lymph nodes in April 12, 1980 admission. Patients started chills, fever, body aches and discomforts on January 20, and became flushing and edema on the following day, followed by red papules on both lower extremities and trunk. Treatment in the clinic, with large celebration, chloramphenicol anti-infective, prednisone, chlorpheniramine anti-allergy, 1 week after the heat back, the rash faded, but the facial swelling did not improve, and sense of limb weakness, generalized joint pain , With two wrist for. In early March with prednisolone and procaine as both hands