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病例14-2017:一名左侧小腿腓肠肿痛合并皮肤紫癜的20岁男性
Case 14-2017 — A 20-Year-Old Man with Pain and Swelling of the Left Calf and a Purpuric Rash


Eli M. Miloslavsky ... 其他 • 2017.05.11

陈述


Lauren R. Zeitels医师(内科):一名20岁男性因左侧小腿腓肠肿痛合并皮肤紫癜而到本院门诊就诊。

患者健康状况一直良好,但此次到本院就诊前3周出现咽喉痛、干咳、流涕、寒战。他注意到两侧鼻孔均偶有出血,且鼻孔周围出现结痂(图1)。据称,他兄弟近日被诊断为链球菌性咽炎。

 

图1. 鼻孔的临床照片

患者到本院就诊前3周,双侧鼻孔周围出现结痂。





作者信息

Eli M. Miloslavsky, M.D., John H. Stone, M.D., M.P.H., and Andrea P. Moy, M.D.
From the Departments of Medicine (E.M.M., J.H.S.) and Pathology (A.P.M.), Massachusetts General Hospital, and the Departments of Medicine (E.M.M., J.H.S.) and Pathology (A.P.M.), Harvard Medical School — both in Boston.

 

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