摘要
患者女性,47岁。因“反复口腔溃疡20年,外阴溃疡7年,发热1周”之主诉入院。既往发现皮疹20余年,关节疼痛9年,于2015年3月在我院风湿免疫科诊断为“银屑病”,给予美洛昔康片消炎镇痛等治疗(具体不详)。检查可见口腔、外阴溃疡以及双上肢斑丘疹。给予口服沙利度胺、免疫吸附等治疗控制病情。出院时口腔溃疡和外阴溃疡略有好转,皮疹无明显变化,无瘙痒和疼痛。患者出院3个月症状再未复发,复查显示炎症指标正常。
Patient is female, 47 years old. She was admitted to hospital with the chief complaint of “repeated oral ulcer for 20 years, vulvar ulcer for 7 years and fever for 1 week”. In the past, rash was found for more than 20 years and joint pain for 9 years. In March 2015, it was diagnosed as “psoriasis” in the Department of Rheumatology and Immunology of our hospital, and meloxicam tablets were given anti-inflammatory and analgesic treatment (details are unknown). Oral, vulvar ulcers and macu-lopapules on both upper limbs can be seen. Oral thalidomide and immunoadsorption were given to control the disease. At the time of discharge, oral ulcer and vulvar ulcer improved slightly;skin rash had no obvious change, no itching and pain. The patient’s symptoms did not recur 3 months after discharge, and the reexamination showed that the inflammation index was normal.
出处
《临床医学进展》
2022年第5期3885-3891,共7页
Advances in Clinical Medicine