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患者男,43岁,因两侧面颈部、肩背部皮疹伴疼痛15年、加重3年来我院就诊。15年前左侧面颈部发生数个米粒大小皮疹,有挤压痛,未予注意,以后皮损逐渐向左侧肩背部发展。近3年来对侧面颈部、肩背部也逐渐受累,皮损渐增多,部分融合成片,面颈部皮疹开始有明显自发性疼痛,尤以衣物及冷、热刺激后加重。近年来疼痛强度及发生频率明显加剧。患者一般情况好,既往体健,否认外伤手术史及药物过敏
Male patient, 43 years old, due to the two sides of the face, shoulder and rash with pain for 15 years, aggravating three years in our hospital. 15 years ago, the left side of the neck and a few grain-sized rashes occur, there are crush pain, did not pay attention, then the gradual development of the lesion to the left shoulder. The past three years on the side of the neck, shoulder and back gradually affected, skin lesions gradually increased, part of the integration into a film, face and neck rash began significant spontaneous pain, especially clothing and cold, heat increased after the stimulus. In recent years, the intensity of pain and the frequency of occurrence have obviously increased. Patients generally good, past physical health, deny the history of traumatic surgery and drug allergy