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例1,男,19岁。下肢红斑10天,前臂、下肢肿痛5天。于1989年9月18日入院。体检:体温37.8℃。两下肢见大小不等红色斑疹,部分压之不褪色,两前臂、两腓肠肌及左踝均肿胀,触痛(+)。实验室检查:白细胞14.6×10~9/L,N0.77,L0.26。血小板200×10~9/L。ESR35mm/h。粘蛋白8.3mg/dl。LE细胞阴性,抗核抗体阴性。C 反应蛋白16000μg/dl。出凝血时间正常。胸透(-)。拟诊;过敏性紫癜;风湿性关节炎。入院后给予消炎痛、扑尔敏、强的松等治疗。症状缓解,体温正常。但是两下肢紫癜仍反复出现。发病后1个月摄胸片示肺结核Ⅲ上/—进展期。OT 试验(?)。抗结核治疗10天后皮疹全部消退。观
Example 1, male, 19 years old. Lower limb erythema 10 days, forearm, lower limb swelling and pain for 5 days. Admitted to hospital on September 18, 1989. Physical examination: body temperature 37.8 ℃. See the lower extremities ranging in size from red rash, part of the pressure does not fade, the two forearms, two gastrocnemius and left ankle are swelling, tenderness (+). Laboratory tests: white blood cells 14.6 × 10 ~ 9 / L, N0.77, L0.26. Platelets 200 × 10 ~ 9 / L. ESR35mm / h. Mucin 8.3mg / dl. LE cells negative, anti-nuclear antibody negative. C-reactive protein 16000μg / dl. Clotting time out of normal. Chest throat (-). To be diagnosed; Allergic purpura; Rheumatoid arthritis. After admission given indomethacin, chlorpheniramine, prednisone and other treatment. Symptoms, body temperature normal. However, both lower extremities purpura is still repeated. One month after the onset of chest X-ray showed tuberculosis Ⅲ / - progress. OT test (?). After 10 days of anti-TB treatment, the rash completely subsided. View