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1病历摘要患者女,19岁。因脐周萎缩性斑块16年,结节1年,于2014年4月20日来济宁市第一人民医院就诊。患者16年前脐周无明显诱因出现浸润性斑块,无痛痒,未行任何治疗,斑块逐渐增大,中央出现萎缩,1年前斑块边缘出现结节。患者既往体健,否认有传染病史,否认家族中有类似疾病患者。体格检查:一般情况可,浅表淋巴结未触及增大。皮肤科检查:脐周见一4 cm×4 cm大暗红色浸润性斑块,中央萎缩,表面可见毛细血管扩张,斑块边缘可见
1 medical record Summary Female patient, 19 years old. Due to umbilical atrophy plaque 16 years, nodules 1 year, on April 20, 2014 to Jining First People’s Hospital. 16 years ago, there was no obvious inducement in patients with invasive cord plaque, no itching, without any treatment, plaque gradually increased, the central atrophy, nodules appeared at the edge of the plaque 1 year ago. Past health of patients, denied a history of infectious disease, deny the families of patients with similar diseases. Physical examination: the general situation may be, superficial lymph nodes did not touch increased. Dermatology examination: see a 4 cm × 4 cm thick reddish infiltrative placenta around the umbilical cord, the central atrophy, the surface can be seen telangiectasia, plaque edge visible