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病例12-2021——一名患头皮和面部皮疹的78岁男性
Case 12-2021 — A 78-Year-Old Man with a Rash on the Scalp and Face


Michael K. Yoon ... 其他 • 2021.04.22

病例陈述


Carolina Chiou医师(眼科):一名78岁男性因前额皮肤和额部头皮皮疹及左眼睑水肿被收入本院。

患者既往体健,但在此次就诊前3日,其左侧前额和额部头皮以及双侧上颌窦和上颌出现压榨样疼痛。患者自诉此次疼痛症状与既往鼻窦炎发作相似。患者在另一家医院的初级保健诊所接受了评估,并因推定诊断鼻窦炎开始接受口服克林霉素治疗。

就诊前2日,患者左侧前额皮肤和额部头皮出现红斑及红褐色小皮损。2周前,患者理发师曾在其头皮上发现一处相似斑点。皮损不痛不痒,患者也未就医。

就诊当日,患者睡醒后发现左眼睑红肿。左侧前额皮肤和额部头皮皮损增多,部分覆盖出血性结痂。左眼活动时疼痛,伴有视力模糊。在几小时内,患者左眼睑肿胀加剧,无法完全睁开左眼。之后患者到本院急诊科就诊。





作者信息

Michael K. Yoon, M.D., Hillary R. Kelly, M.D., Suzanne K. Freitag, M.D., Alexander G. Marneros, M.D., Ph.D., Miriam B. Barshak, M.D., and Diane G. Brackett, M.D.
From the Departments of Ophthalmology (M.K.Y., S.K.F.) and Radiology (H.R.K.), Massachusetts Eye and Ear, the Departments of Radiology (H.R.K.), Dermatology (A.G.M.), Medicine (M.B.B.), and Pathology (D.G.B.), Massachusetts General Hospital, and the Departments of Radiology (H.R.K.), Dermatology (A.G.M.), Medicine (M.B.B.), and Pathology (D.G.B.), Harvard Medical School — all in Boston.

 

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