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患儿,女,1岁4个月。因全身散在性皮疹近1年,间断性发热4个月,咳嗽及双眼斜视半月入院。该患儿自出生后5个月左右在其胸、腹及背部出现皮疹,初为红色米粒大小的丘疹,逐渐有少许黄色液体渗出后结痂变为棕黄色后脱屑消失。在外长期按“湿疹”给予抗过敏等治疗(内服及外用药物),皮疹时隐时现,不见好转。于4个月前患儿出现发热、颈淋巴结肿大,伴精神不振,食欲明显减退,在外按“淋巴结炎”给予青霉素等药物治疗,无效,且近半个月出现阵发性咳嗽,双眼斜视遂来院就诊。入院查体:
Children, women, 1 year old 4 months. Due to systemic rash nearly 1 year, intermittent fever 4 months, cough and binocular strabismus admitted for half a month. The child from 5 months after birth in its chest, abdomen and back rash, the beginning of the red rice-size papules, and gradually a little yellow liquid exudation scab becomes brown after scaling disappear. Foreign long-term press “eczema” to give anti-allergy and other treatment (oral and topical drugs), rash hidden, but no improvement. 4 months ago, children with fever, cervical lymph node enlargement, with mental retardation, loss of appetite significantly, according to the “lymphadenitis” given penicillin and other drugs, ineffective, and nearly half a month of paroxysmal cough, binocular strabismus Then come to hospital. Admission examination: