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病人女 17岁注射结核菌素48小时后,自觉全身不适、心慌。注射局部红肿、皮肤呈紫褐色,继之水泡、溃烂,两手背皮肤多处大小不等溃烂及紫斑;溃烂面积最大约2.5×2cm;双足背部及一、二趾间出现多处紫褐色斑片,右耳轮有一蚕豆大小溃疡灶,右胸部锁骨中线2～3肋间处及右大腿内侧各有片状紫斑出现。病人及家属即往无皮肤病史和过敏史。其姊曾患淋巴结核2年,已手术切除。病人在此次结素试验前,未感不适。查体:体温36.5℃,心、肺、腹部
Patient 17 years old After injecting tuberculin 48 hours, consciously unwell, palpitation. Injection of local swelling, the skin was purple brown, followed by blisters, ulcers, multiple back skin size ranging from ulceration and purple spots; ulceration of the largest about 2.5 × 2cm; feet back and one, two to many purple brown spots Film, the right ear wheel has a broad bean ulcer foci, right chest clavicle midline 2 ~ 3 intercostal Department and the inside of the right thigh flaky purple spots appear. Patients and their families that no past history of skin and allergies. His sister had lymph node tuberculosis 2 years, has been surgically removed. The patient did not feel any discomfort before the test. Physical examination: body temperature 36.5 ℃, heart, lung, abdomen