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1病历摘要男,22岁。因双足起水疱伴瘙痒、疼痛1个月来诊。患者于1个月前双侧足底起水疱伴瘙痒、疼痛,在当地诊断为湿疹继发感染,给予口服抗组胺药、皮质类固醇激素及静脉滴注抗生素等治疗,皮损明显好转,但停药后很快复发。体检:一般情况好,各系统未见明显异常。血常规:WBC 6.29×109/L,N0.53,L 0.32,单核0.08,嗜酸0.07,RBC 5.12×109/L,PLT172×109/L。皮肤科检查:双足底弥漫性红斑、水疱伴糜烂、渗出、痂皮,边界不清楚,皮疹双侧对称分布。取足底痂皮做真菌镜检
1 medical record male, 22 years old. Due to bipolar blisters with itching, pain a month to consult. Patients had blisters with pruritus and pain on both sides of the foot 1 month ago and were diagnosed with secondary eczema infection. Oral antihistamines, corticosteroids and intravenous antibiotics were given. The skin lesions were significantly improved but Recurrence soon after stopping. Physical examination: the general situation is good, the system showed no obvious abnormalities. Blood: WBC 6.29 × 109 / L, N0.53, L 0.32, mononuclear 0.08, acidophilus 0.07, RBC 5.12 × 109 / L, PLT172 × 109 / L. Dermatology examination: diffuse erythema of both feet, blisters with erosion, exudation, crusts, the border is not clear, bilateral rash symmetrical distribution. Take foot scabs do fungal microscopy