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1临床资料患者女,56岁。双下肢丘疹并结节2个月。2个月前,患者右膝关节伸侧出现一丘疹,无瘙痒和疼痛,约1个半月前左膝关节伸侧出现类似皮疹,当地医院以“湿疹”予口服抗组胺药及外用糖皮质激素等治疗,无效。既往史:高血压10余年,服用降压药物至今,血压控制良好;否认药物及食物过敏史,也无肝炎及结核病史,家族中无遗传性疾病史和类似皮肤病患者。体检:一般情况良好,全身浅表淋巴结无明显肿大,系统检查无明
1 Clinical data Female patient, 56 years old. Double lower limb papules and nodules 2 months. Two months ago, the patient showed a pimple on the extensor side of the right knee with no itching and pain. A similar rash appeared in the left knee joint extensor about a month and a half ago. The local hospital used “eczema” for oral antihistamines and topical Glucocorticoid treatment, invalid. Past history: Hypertension more than 10 years, taking antihypertensive drugs so far, blood pressure control is good; denied drug and food allergy history, nor history of hepatitis and tuberculosis, family history of no genetic disease and similar skin disease patients. Physical examination: the general situation is good, systemic superficial lymph nodes without obvious swelling, the system check ignorance