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1临床资料患者男,37岁。胸背部、颈部、面部和手背皮疹反复发作3年,背部结节6个月。皮疹夏季加重、冬季减轻,对光敏感,偶有不明原因的低热和关节痛。青年时期有较严重的痤疮,曾接受维甲酸类内服和糖皮质激素外用治疗。半年前发现背部有2个皮肤结节样损害,未作特殊处理。体检:T37.1℃,上胸部、背部和
1 Clinical data Patient male, 37 years old. Thoracodorsal, neck, face and back of the hand repeated episodes of rash 3 years, 6 months back nodules. Increased summer rash, reduce the winter, light-sensitive, occasional unexplained fever and joint pain. Youth has more severe acne, retinoids have received oral administration of glucocorticoid topical treatment. Six months ago found two back nodular skin lesions, no special treatment. Physical examination: T37.1 ℃, upper chest, back and