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1临床资料患者男,37岁,羌族,无业。面、颈部及双上肢晒伤样红斑伴瘙痒1年余,加重2个月。1年前,患者面部及双上肢远端出现紫红色斑,自觉瘙痒及灼热,日晒后加重;半年前出现乏力和行走困难,近2个月来食欲下降、记忆力减退、注意力不集中、反应迟钝和易疲劳,无腹痛和腹泻。患者酗酒约20年,每日饮用白酒约250g。否认肝炎、结核等病史,也否认药物过敏史、类似疾病家族史及吸毒史。体检:体型消瘦,表情
1 Clinical data Patient male, 37 years old, Qiang, unemployed. Facial, neck and upper extremities sunburn erythema with itching more than 1 year, increased 2 months. A year ago, the patient’s facial and upper extremity distal fuchsia spots, and itching and burning sensation, increased after the sun; fatigue and walking six months ago, the past 2 months to loss of appetite, memory loss, lack of concentration, Unresponsive and tired, no abdominal pain and diarrhea. Patients with alcoholism for about 20 years, drinking about 250g of white wine daily. Denied hepatitis, tuberculosis and other medical history, but also denied drug allergy history, family history of similar diseases and history of drug abuse. Physical examination: body weight loss, expression