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患者,女,19岁,因四肢近关节处反复出现紫红色皮肤硬结,破溃溢液9个月于1990年10月29日入院.查体:全身情况好,右膝前下方,右肘后,右足跟外侧见直径0.8-3cm窦道,深达骨质,肉芽苍白,有黄褐色液体流出;右上臂及左大腿根各有一1×1cm~2皮下硬结,活动,无红肿压痛;左膝较肿胀,皮肤不红,触痛;左踝外上方肿胀,中央呈紫红色,有波动感.辅助检查:轻度贫血,大小便常规、肝肾功、胸透、心电图均正常;血沉45mm/h,USR,抗核抗体阴性,免疫球蛋白定量正常,血中末见狼疮细胞;真菌培养阴
Patients, female, 19 years old, due to limbs near the joint recurring purple red skin induration, ulceration discharge 9 months in hospital on October 29, 1990. Physical examination: the general condition is good, right anterior knee below the right elbow , The right heel and outside see the diameter of 0.8-3cm sinus, deep bone, granulation pale, yellowish brown liquid outflow; right upper arm and left thigh root each have a 1 × 1cm ~ 2 subcutaneous induration, activity, no red tenderness; left knee More swelling, the skin is not red, tenderness; swelling of the upper left outside the left ankle, the central was purple, with a sense of flu .Auxiliary examination: mild anemia, urine routine, liver and kidney function, chest X-ray, ECG are normal; ESR 45mm / h, USR, anti-nuclear antibody negative, normal quantitative immunoglobulin, blood see no lupus cells; fungal culture Yin