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病例患者女性、49岁。半年以来,每月口腔内上腭弓及扁桃体等粘膜处出现散在的大如粟粒的糜烂区,有轻度疼痛感。同时在颈部、胸部、肩部等皮肤处出现散在性、大如米粒的红色丘疹,具有轻度痒感。曾经四环素、核黄素、维生素C等治疗,无明显效果。但均约十余日后症状消退。经详细询问病史,并加以分析后,得知其症状的出现,均与月经有关,约于月经来潮前3—4天出现症状,月经完毕后3—4天症状消退。诊断为伴有口腔粘膜症状的月经疹。采取单纯黄体酮疗法:即在月经来潮前7天开始注射黄体
Case patient female, 49 years old. Six months, the monthly oral cavity on the palatal arch and tonsils and other mucosa scattered as large miliary erosion area, mild pain. At the same time in the neck, chest, shoulders and other skin appear scattered, as large as red rice papules, with mild itching. Once tetracycline, riboflavin, vitamin C and other treatment, no significant effect. However, after about ten days the symptoms subsided. After detailed history, and to be analyzed, that the symptoms appear, are related to menstruation, about 3-4 days before the menstrual cramps symptoms, 3-4 days after menstruation symptoms subsided. Diagnosis of menstrual rash with oral mucosal symptoms. To take a simple progesterone therapy: that is, in the first 7 days before menstruation injection of corpus luteum