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笔者诊治1例以荨麻疹为首发症的甲型病毒性肝炎(以下简称甲肝),现报告如下。病例简介患儿,男,8岁,因风团、纳差、无力、尿黄4天就诊。患儿1990年2月22日因脸部、躯干、四肢瘙痒,并有淡红色风团,纳差、尿黄就诊,诊断为荨麻疹,经服用扑尔敏、VitC、葡萄糖酸钙等抗过敏治疗无效,于是年2月26日下午出现厌食、恶心、上腹饱胀、风团增加,再次就诊。患儿有青霉索过敏史,近3个月无上呼吸道感染、腹泻、使用药物,过敏原接触史。本地区流行甲肝,患儿有接触史。体格检查:T37.3℃、精神疲软,皮肤巩膜无黄染,全身皮肤有散在性淡红色风团,躯干部融合成片,浅表淋巴结未及,咽、扁桃体(一),颈软,心肺(一),腹平软,肝肋下2cm,剑突下3cm,边钝、质尚软,触痛(+),脾(-),
I diagnosed a case of urticaria as the first symptom of hepatitis A (hereinafter referred to as hepatitis A), are as follows. Case description Children, male, 8 years old, due to wind group, anorexia, weakness, urine yellow 4 days treatment. February 22, 1990 due to face, torso, limbs itching, and reddish wind groups, anorexia, urine yellow treatment, diagnosis of urticaria, after taking chlorpheniramine, VitC, calcium gluconate and other anti-allergy Treatment is invalid, so the afternoon of February 26, anorexia, nausea, abdominal fullness, the wind group increased again treatment. Penicillin allergy in children with history, nearly 3 months without upper respiratory tract infection, diarrhea, the use of drugs, allergen exposure history. Hepatitis A prevalence in the region, children have exposure history. Physical examination: T37.3 ℃, mental retardation, skin sclera no yellow dye, systemic skin scattered pink wind group, trunk fusion into pieces, superficial lymph nodes, pharynx, tonsils (a), neck soft, cardiopulmonary (A), abdominal soft, liver ribs 2cm, xiphoid 3cm, while blunt, the quality is still soft, tenderness (+), spleen