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1 临床资料患儿女,1.5岁.反复气喘胸闷3～4个月,伴有全身皮疹,以背部为著,无发热,以“肺炎”人院。患儿背部布满密集暗红色出血性丘疹,高起皮肤,压之退色,表面有毛刺感,疹间皮肤可见较多白斑,其他部位皮肤见散在白斑。肺部听诊:呼吸间明显变粗,无干湿性罗音,胸廓无畸形,肝脾轻度肿大.实验室检查:Hb109g/L,RBC5.7×10~(12)/L,WBC14.1×10~9/L,PC238×10~9/L,杆细胞41.2％,淋巴细胞58.8％。
1 Clinical data Children, 1.5 years old. Repeated asthma chest tightness 3 to 4 months, accompanied by systemic rash, with the back as, no fever, “pneumonia” hospital. Children with dense dark red hemorrhage papules covered the back, high from the skin, the pressure of the fade, the surface has a glitch, more visible leukoplakia skin, other parts of the skin see scattered white. Auscultation of the lungs: Obviously thickening of the respiratory tract, no wet or dry rales, no deformity of the thorax, mild enlargement of the liver and spleen Laboratory tests: Hb109g / L, RBC5.7 × 10-12 / L, WBC14. 1 × 10 ~ 9 / L, PC238 × 10 ~ 9 / L, stem cells 41.2%, lymphocytes 58.8%.