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1临床资料患儿女,5岁。头顶部出现皮疹伴瘙痒和疼痛2周。2周前,患儿头顶部右侧皮肤出现密集分布的粟粒大红色丘疹,表面无脓疱。后逐渐融合至鸽蛋大小,伴轻度红肿和瘙痒。当地医院以“痈”予静滴美洛西林/舒巴坦钠和复方甘草酸苷治疗10d,无效,皮损面积继续扩大,呈隆起性浸润性斑块,表面出现毛囊性脓疱、结痂及肿块。其上及周边头发松动,易于拔除,瘙痒及疼痛加剧,但无明显的全身症状。患儿系足月顺产,母乳喂养至1岁。体质量20kg,生长
1 clinical data Children, 5 years old. Rash at the top of the head with itching and pain for 2 weeks. Two weeks ago, there was densely populated miliary red papules on the right side of the head of the child with no pustules on the surface. After gradual fusion to the size of the pigeon, with mild swelling and itching. The local hospital to “痈 ” to intravenous mezlocillin / sulbactam sodium and compound glycyrrhizin treatment 10d, invalid, the area of the lesion continues to expand, was elevated infiltrative plaques, the appearance of follicular pustules, Crusted and lumps. On and around the hair loose, easy to remove, itching and pain worse, but no obvious systemic symptoms. Children with full-term delivery, breastfeeding to 1 year old. Body weight 20kg, growth