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郭×、男、56岁,河南荥阳人,石匠。主诉:右手臂结节,破溃,结痂5年。病史:劳动时不慎右手背外伤,愈后出现暗红色小丘疹及结节、破溃,流血,流脓,表面结痂,逐渐扩大,达整个手背,有时肿胀疼痛。曾按“皮肤结核”治疗无效。皮损情况:右手臂有暗红色浸润性斑块及结节,表面被有污秽褐色厚痂,自愈后之疤痕(图1.)右肘后淋巴结肿大,初步诊断:着色真菌病。化验结果:取痂下破溃面处之脓液作真菌直接镜检找到棕黄色厚膜孢子,右手臂组织病理:表皮不规则增生,呈假
Guo ×, male, 56 years old, Henan Mianyang, masons. Chief complaint: right arm nodules, ulceration, scab 5 years. History: Labor accidentally right hand back injury, the more dark red papules and nodules, ulceration, bleeding, pus, surface scabs, gradually expanding, up to the entire back of the hand, and sometimes swelling and pain. Have been “skin tuberculosis” treatment is invalid. Skin lesions: the right arm has dark red infiltrative plaques and nodules, the surface is dirty brown thick scab, self-healing scar (Figure 1.) Lymphadenopathy after the right elbow, the initial diagnosis: fungal mycosis. Laboratory results: Take the pus rupture of pus at the surface of the fungus for direct microscopy found brown thick film spores, right arm histopathology: epidermal irregular hyperplasia, were false