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例1:女,5个半月。因发热、精神不振、哭闹、皮肤出现出血点及紫斑一天,于1984年5月16日诊断“暴发型流脑——华佛氏综合征”入院。查体:体温38.8℃,神志清楚,臀部及双下肢见大小不等片状淤点及淤斑,压之不退色。淤斑周围可触及黄豆大小结节。其它系统无异常发现。化验:白细胞20,800,中性46%、淋巴54%,淤斑涂片未查到病原菌。静点磺胺药、青霉素治疗3天后,臀部及两下肢紫癜增多,紫癜丘疹上发生水疱、坏死、溃疡、双下肢水肿。经皮肤科会诊确诊为变应性皮肤血管炎。静点青霉素、氟美松治疗两周后痊愈出院。
Example 1: Female, 5 and a half months. Due to fever, lack of energy, crying, bleeding spots and purplish skin day, May 16, 1984 diagnosis of “fulminant meningitis - Warburg syndrome” admission. Physical examination: body temperature 38.8 ℃, conscious, hips and lower extremities see the size ranging from disc-shaped petechia and ecchymosis, the pressure of fade. Eczema can reach around the size of nodules. Other systems found no abnormalities. Laboratory tests: 20,800 leukocytes, 46% neutral, 54% lymphatic, ecchymosis smear was not found pathogenic bacteria. Quiet Sulfa drugs, penicillin treatment 3 days, the buttocks and both lower extremities purpura increased purpura papules blisters, necrosis, ulcers, lower extremity edema. Dermatology consultation diagnosed as allergic skin vasculitis. Sting point penicillin, dexamethasone cured two weeks after discharge.