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林某某,女,24岁,患者半个月前不明原因出现皮肤发黄,以手掌、足底为甚。曾在院外按“肝炎”治疗无效,黄染日趋加重。发病前4个月曾食大量柑桔,每日约500g,否队食用红萝卜、南瓜、菠菜等食物。既往健康,家族无类似病史。查体:T 36.2℃,P 80次/分,BP 13.3/9.00 kPa。巩膜无黄染,全身皮肤黄染,其中鼻唇沟、腋下、腹股沟等处为中度,手掌、足底为重度,余处为轻度。心肺正常,肝脾不大。实验检查:
Lin Moumou, female, 24 years old, patients with unexplained skin yellowing occurs half a month ago, with palms and soles. In the hospital by “hepatitis” treatment ineffective, yellow dye is aggravating. Four months before the onset of eating a lot of citrus, about 500g daily, no team eating carrots, pumpkin, spinach and other foods. Past health, no similar family history. Examination: T 36.2 ℃, P 80 beats / min, BP 13.3 / 9.00 kPa. Sclera no yellow dye, yellow skin, body, including the nasolabial fold, armpit, groin and other places for the moderate, palm, plantar severe, the rest is mild. Cardiopulmonary normal liver and spleen is not. Experimental examination: