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1临床资料患者女,51岁。躯干及四肢结节伴疼痛1月余。患者1个月余前无明显诱因于双大腿内侧首先出现红色结节,无瘙痒,伴有轻度疼痛,后双上肢及躯干部相继出现类似皮疹。当地医院以“血管炎?”等治疗4d(具体不详),无效。发病以来,无发热、盗汗、咳嗽、咳痰、心慌、胸闷、腹痛、腹泻、尿频、尿急、尿痛及四肢关节疼痛,精神、食欲及睡眠可,大小便未见异常,体重也无明显变化。患高血压病4年,否认糖尿病及结核病史,家
1 Clinical data Female patient, 51 years old. Torso and limbs with joint pain more than 1 month. Patients with no obvious cause more than one month before I appeared in the inner thighs first red nodules, no itching, accompanied by mild pain, both upper extremities and trunk after a similar rash. Local hospital to “vasculitis?” "Treatment 4d (specific unknown), invalid. Since onset, no fever, night sweats, cough, sputum, palpitation, chest tightness, abdominal pain, diarrhea, frequent urination, urgency, dysuria and limb joint pain, mental, appetite and sleep can be, no abnormal urine and weight, no significant weight Variety. Suffering from hypertension for 4 years, denied the history of diabetes and tuberculosis, home