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患者男,4个月,2个月来反复出现皮疹,起初为淡红色斑丘疹,以后渐转为深红色出血性皮疹,表面结痂,脱屑,脱痂后遗留白斑。出疹时伴发热,体温38℃左右,疹退体温降至正常。近20天来患儿双眼球外突,左颞部出现肿物,左外耳道流脓。查体 T38.6℃,P100次/min,面色苍白,全身皮肤见出血性斑丘疹,直径约3mm大小白斑,以躯干、面部、发际多见。颈部、腹股沟淋巴结约1.5cm×1.0cm,质韧,活动差。双眼球外突,左颞部有约3cm×3cm大小肿物,不红不热,无触痛及波动感。左外耳道内有脓性分泌物。心肺无异常,腹略胀软,肝肋下3cm,剑
Male patients, 4 months, 2 months to repeated rash, initially as pink red rash, later turned to crimson hemorrhagic rash, surface scab, scaling, scab left after the scab. Rash accompanied by fever, body temperature around 38 ℃, rash fever returned to normal. Nearly 20 days in children with both eyes protruding ball, left temporal region of the tumor, left external auditory canal pus. Physical examination T38.6 ℃, P100 times / min, pale, systemic hemorrhagic rash seen, the size of about 3mm white spot to the trunk, face, hair more common. Neck, inguinal lymph nodes about 1.5cm × 1.0cm, quality tough, poor activity. Eyes outburst, the left temporal part of about 3cm × 3cm size of the tumor, not red is not hot, no tenderness and volatility. Left external auditory canal purulent secretions. No abnormal heart and lungs, abdomen slightly soft, liver ribs 3cm, sword