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1临床资料例1,患者男,47岁,因左足掌指起皮疹伴臭味2周就诊。2周前患者感觉左足掌有恶臭,发现左足掌表面粗糙不平,走路时感觉疼痛而就诊。既往健康,家族中无遗传病及类似病史。患者有手、足多汗史,既往体健,家族成员中无类似病史。一般情况可,系统检查未见异常。皮肤科情况:左足掌可闻及恶臭,足掌表面浸渍、发白,可见泛发性点状凹陷,质地中等,以足掌前1/3及足趾屈侧为重(图1)。皮损真菌镜检及培养均阴性。
1 clinical data example 1, male patient, 47 years old, due to the left foot palm pointing rash with stinking 2 weeks treatment. Two weeks ago, the patient felt a stench on the left foot and found that the surface of the left foot was rough and uncomfortable. He felt pain while walking and saw a doctor. Past health, family history of no genetic disease and similar. Patients have hand, foot sweat history, previous physical health, family members no similar history. In general, the system check no abnormalities. Dermatology: left foot can smell and stench, dimpled surface impregnated, white, visible punctiform hollow, medium texture, to the first 1/3 of the foot and toe flexor as the most important (Figure 1). Lesions of fungus microscopy and culture were negative.