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患者男,28岁。主诉:双侧下眼睑白色丘疹5年。现病史:患者5年前无明显诱因左侧下眼睑出现针头大白色丘疹,逐渐增多并累及右侧下眼睑,偶有轻度瘙痒。为明确诊断,患者于2015年11月12日来我科就诊。既往史及家族史:既往体健,无局部外伤史或用药史,家族中无类似疾病患者。体格检查:一般情况好,各系统检查无异常,全身浅表淋巴结未触及增大。皮肤科检查:双侧下眼睑可见群集性直径2~5 mm的淡红色圆形或卵圆形丘疹,丘疹上可见单个或多个针尖至粟粒大白色发亮丘疹,直径1~3 mm,表面光滑坚实,并沿下眼睑呈线状排列(图1A、B);身体其他部位皮肤未
Male patient, 28 years old. Chief Complaint: bilateral lower eyelid white papules 5 years. Current history: The patient had no obvious incentive 5 years ago The left lower eyelid needle appeared white papules, gradually increased and involving the lower right eyelid, occasionally mild itching. To confirm the diagnosis, patients came to our department on November 12, 2015. Past and Family History: Past Physical Health, No History of Local Trauma or Medication History, No Similar Disease in Family. Physical examination: the general situation is good, the system check no abnormalities, systemic superficial lymph nodes did not touch increased. Dermatology examination: visible bilateral lower eyelid cluster diameter of 2 ~ 5 mm pink round or oval papules, papules can be seen on single or multiple needle to miliary big white shiny papules, diameter 1 ~ 3 mm, the surface Smooth and solid, and arranged along the lower eyelid line (Figure 1A, B); other parts of the body skin