脓疱性银屑病并发关节病性银屑病1例

发布时间：2018-04-13 08:40

本文选题：银屑病 + 脓疱性　；参考：《临床皮肤科杂志》2014年01期

【摘要】：正患者男,39岁。因四肢远端反复红斑、鳞屑9年,脓疱5年,左足、双手畸形2年,于2012年5月就诊。患者于9年前无明显诱因,双下肢远端出现红色斑疹,伴有大量鳞屑,无自觉症状,就诊于当地医院,诊断为银屑病。皮疹迁延不愈,冬重夏轻,未正规治疗,皮损逐渐蔓延至膝关节,5年前因在某诊所外用中药偏方,原有皮疹加重,并在原皮损表面出现大量脓疱,皮损新旧更迭,偶有发热。曾就诊于某大医院,经2次取脓疱液细菌培养,结果均为阴性,进一步行皮损组
[Abstract]:The patient is 39 years old.Due to recurrent erythema of the distal extremities, 9 years of scales, 5 years of pustules, 2 years of left foot and 2 years of deformity of both hands, the patient was treated in May 2012.The patient had no obvious inducement 9 years ago, red erythema appeared at the distal end of both lower limbs, accompanied by a large number of scales, no conscious symptoms, and was diagnosed as psoriasis in a local hospital.Skin rash is delayed, winter is heavy, summer is light, not regular treatment, skin lesion spreads to knee joint gradually, 5 years ago because in a clinic external use Chinese medicine partial prescription, original rash aggravation, and appear a large number of pustules on the surface of original skin lesion, new and old change of skin damage, occasionally have fever.Once visited in a large hospital, the bacteria were cultured twice in pustular fluid. The results were all negative, and the skin lesions were further performed.
【作者单位】：中国人民解放军第202医院皮肤科;
【分类号】：R758.63

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