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女,14岁,因食欲差、尿黄一周于1990年3月15日入院。体检:皮肤及巩膜黄染,肝右助下2cm,脾未扪及。II52u,ALT200u。抗HAV-IgM(+),HBsAg(-),HBsAb(+),HBeAb(+)。曾接种过乙肝疫苗。入院后按甲型肝炎予以门冬氨酸钾镁、肌苷等治疗,症状消失。肝助下未再扪及,ALT恢复正常,但II仍达12～15u。5月30日起发热,T38℃左右,至6月1日达39～10℃,食欲再度下降,全身出现麻疹样斑丘疹或多形性红斑,结膜充血,黄疸加深,肝再次肿大达助下2cm,脾助下4cm。6月6日起双膝以下呈弥漫性红斑,手、脚掌明显潮红,卡介苗接种疤痕亦见红斑,相继出现四肢关节肿痛、手足硬性肿胀、浅表淋巴结多处肿大、颜面与眼睑浮肿、口唇潮红与红斑、杨梅舌、咽充血、耳道溢脓,EKG提示窦生心功过速
Female, 14 years old, due to poor appetite, urine yellow week in March 15, 1990 admitted. Physical examination: skin and sclera yellow dye, right liver help 2cm, spleen not palpable. II52u, ALT200u. Anti-HAV-IgM (+), HBsAg (-), HBsAb (+), HBeAb (+). Had inoculated hepatitis B vaccine. After admission to hepatitis A aspartate potassium magnesium, inosine and other treatment, the symptoms disappear. ALT returned to normal, but II still reached 12 ~ 15u. May 30 fever, T38 ℃ or so, to June 1 up to 39 ~ 10 ℃, appetite decreased again, the whole body appeared measles-like rash or erythema multiforme, conjunctival hyperemia, jaundice deepened again swollen liver up to help Under 2cm, spleen help next 4cm. June 6 was diffuse erythema below the knees, hands, palms marked flushing, BCG vaccination scar see also erythema, one after another limbs joint swelling and pain, hand and foot hard swelling, multiple superficial lymph nodes swelling, facial and eyelid edema, Lip flush and erythema, bayberry tongue, pharyngeal hyperemia, empyema purulent, EKG prompt sinus sinus tachycardia