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糖尿病性水疱瘸(Bullosis Diabeticorum)是一种少见的、原因不明的糖尿病(DM)并发症,本病往往不引起重视,现将我们所见病例报告如下。例1 男,54岁,确诊DM已15年,曾因糖尿病酮症酸中毒(DKA)住院4次。平时尚能坚持饮食控制和口服降糖药。近三周来“三多”症状及下肢浮肿加重。因指(趾)端、足背反复出现数个大小不等的水疱性损害二月余,于1983年7月20日住院。体检:体温37℃,消瘦,眼睑及下肢轻度指压性水种,心、肺、腹未见异常,右足跟、大姆指出现蚕豆大小脓疱疹2个,左右手指出现黄豆大小水疱3个,酷似烫伤水疱,疱壁菲薄而透明,充满清澈渗液。化验:白细胞和分类偏高。空腹血糖
Bullosis Diabeticorum is a rare and unidentified diabetic (DM) complication. The disease is often underestimated, and the cases we have seen are reported below. Example 1 Male, 54 years old, diagnosed with DM for 15 years and hospitalized for diabetic ketoacidosis (DKA) 4 times. Flat can adhere to diet control and oral hypoglycemic agents. Nearly three weeks, “more than three” symptoms and lower extremity edema worse. Due to the (toe) end, repeated several times in the dorsal foot blister lesions of varying sizes in February more than in July 20, 1983 hospitalization. Physical examination: body temperature 37 ℃, weight loss, eyelid and lower extremity mild acupressure water, heart, lungs, abdomen no abnormalities, right heel, thumb means broad bean pustules 2, left and right fingers appear soybean size blisters 3 , Resembles burns blister, Blister wall meager and transparent, full of clear exudate. Laboratory tests: high white blood cells and classification. Fasting blood sugar