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患者,男,50岁,因持续高热5天,多形性皮疹2天于1988年4月15日入院。入院前体温持续在39~40.3℃之间,伴头痛,咽干痛,关节酸痛及周身不适等。病后第4天双足背部出现红色斑丘疹,又两天后皮疹渐向上蔓延至全身,无瘙痒感。尿量正常。查体:体温39℃,脉搏108次/分,血压16.0/11.2kPa(120/84 mmHg)。全身可见广泛红色斑丘疹,直径1~6 cm不等,形状不规则,压之退色。
Patient, male, 50 years old, with prolonged hyperthermia for 5 days, pleomorphic rash 2 days admitted on April 15, 1988. Pre-hospital temperature continued at 39 ~ 40.3 ℃, with headache, sore throat, joint pain and discomfort and so on. On the 4th day after the illness, a red rash appeared on the back of both feet. After two days, the rash gradually spread to the whole body without a sense of itching. The urine output is normal. Examination: body temperature 39 ℃, pulse 108 beats / min, blood pressure 16.0 / 11.2kPa (120/84 mmHg). The body visible broad red rash, ranging from 1 cm in diameter to 6 cm, irregular shape, pressure of the fade.