繁华已谢，梦重新开始，转战SUB

zhangheng1020UID: 2130513

HU HU~~~

[ Last edited by zhangheng1020 on 2005-12-25 at 18:42 ]

yogurt4UID: 198389

Originally posted by zhangheng1020 at 2005-12-25 02:50
HU HU~~~

:p
我也要HU HU了

zhangheng1020UID: 2130513

today

[ Last edited by zhangheng1020 on 2005-12-25 at 19:15 ]

fang05540554UID: 2103556

:$:$:$:$:$:$

yogurt4UID: 198389

阿恒~~~
看见你在MSN上给我的留言了,稀饭~~~~

现在去洗澡,然后赶作业,星期二回来我就解放了
是门巨难的课,愁了一学期了,嘿嘿

zhangheng1020UID: 2130513

师傅加油！！我玩了两天，也要收心学习了

看见一个非常珍贵的病例，很多皮肤科大夫一辈子可能也碰不见的。如获至宝，不敢独享，希望同行一起探讨~~~

不是学医的就不要看了。

[ Last edited by zhangheng1020 on 2005-12-26 at 11:19 ]

zhangheng1020UID: 2130513

Introduction to the case

The patient, a woman, is now 39 years old. She has been suffering from an unknown disease (characterized by spots on the face) for 19 years, with a feeling of tightness and pain. She has already turned to doctors in Xuzhou, Nanjing and Shanghai and was successively diagnosed Lupus vulgaris, Mucormycosis, Sarcoidosis and other forms of diseases. She has taken different kinds of medicine such as streptomycin, isoniazid, rifampicin, ketoconazole, fluconazole, Danshen, DDS, potassium iodide, chloroquine, but the situation has never been controlled and the patient’s condition has worsened over time.

At present, the patient is very week and has been depending on liquid food to be kept alive. Her family is very poor.

There is nothing unusual in her medical examination (functions of liver and kidney, ANA(1), RPR(1) and TPHA(1) immunoglobulin .

The section of the patient’s skin in earlier, medium and recent periods can be seen in the pictures.

Urgent help is needed:
1) to diagnose the disease
2) to offer medical care and treatment to the patient

[ Last edited by zhangheng1020 on 2005-12-26 at 10:50 ]

zhangheng1020UID: 2130513

4张图片明显看出，这个病人的皮损局限在颜面部，从最开始的细胞浸润12，炎症12发展，反复的瘢痕组织替代整个正常皮肤34。 病程很长，可是又使恶性表现为什么？


** 女 39岁
面部进行性浸润性斑块19年，伴疼痛、紧缩感。先后到徐州、南京、上海等地就诊，拟诊为“寻常狼疮”、“毛霉菌病”、“结节病”等。曾用多种药物治疗，如：链霉素，异烟肼，利福平，酮康唑，氟康唑，维生素，皮质类固醇，丹参，DDS, 碘化钾，氯喹等，但症状未能控制和改善。

系统检查中未发现明显异常，其中包括三大常规，免疫球蛋白，肝、肾功能检查，ANA(—)、RPR（—）、TPHA(—) 。组织病理：表皮轻度棘层肥厚，真皮内可见以淋巴细胞，上皮样细胞，郎格罕巨细胞所构成的结核样肉芽肿性浸润。

目前已发展到面目全非，皮损向耳后、颈部发展，损害坚韧并高出皮面，表面暗红，血管明显充血。患者目前季度虚弱，靠流质维持生命，且家境十分贫困。

zhangheng1020UID: 2130513

注意组织结构的逐渐病变

[ Last edited by zhangheng1020 on 2005-12-26 at 11:20 ]

yogurt4UID: 198389

229楼的人肯定痛苦死了

zhangheng1020UID: 2130513

是呀，才39岁，患病就19年。很受罪的~~~
希望可以提高她的生活质量。


今天累惨了~~~今天也差点矫情:@:@:@:@

[ Last edited by zhangheng1020 on 2005-12-27 at 02:30 ]

zhangheng1020UID: 2130513

time for huhu~~~ toooooooooooooooo tired...................
sigh
昨天矫情了，最讨厌自己矫情~~~
自责一下

[ Last edited by zhangheng1020 on 2005-12-27 at 02:30 ]

zhangheng1020UID: 2130513

weak up for todays task

------------------
ps: anemia:vomit:nausea:(


今天起，停止红宝，停止专业课复习。严禁灌水，假一罚十~~:L

[ Last edited by zhangheng1020 on 2005-12-27 at 14:45 ]

yogurt4UID: 198389

我考完了,HUHU.今天就帮你看作文去
有点晚的说

zhangheng1020UID: 2130513

今天开始住在办公室了，除了周末不会上网，上网只是:o:@

Originally posted by yogurt4 at 2005-12-27 22:36
我考完了,HUHU.今天就帮你看作文去
有点晚的说

谢谢师傅！！！:hug::hug:祝你成功！！！

[ Last edited by zhangheng1020 on 2005-12-30 at 20:34 ]