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患者,男,22岁。1982年10月碰伤右外踝处引起感染,经治未愈。同年12月下旬进食狗肉后,即出现发热、皮疹、皮下结节、淋巴结肿大、关节痛、阴囊肿痛、腹痛,外院诊为“感染性多形性红斑,急性睾丸炎”。经治伤口愈合,症状缓解出院。1984年4月底再次食狗肉,次日上述症状复发于同年5月18日入院。查体:体温38℃,四肢及躯干皮肤可见散在暗红色结节性形状大小不一的红斑(直径约0.5～3.0cm),压痛明显,压之不退色。有的可见中央流出少量油液状白色分泌物。臀部、大腿内侧、膝部可见散在中央凹陷色素斑。腹股沟可触及蚕豆或核桃大淋巴结,有
Patient, male, 22 years old. October 1982 bruising the right lateral malleolus caused by infection, the cure did not heal. In the same year in late December after eating dog meat, that is, fever, rash, subcutaneous nodules, lymph nodes, joint pain, scrotum swelling and pain, abdominal pain, the out-patient diagnosis of “infectious pleomorphic erythema, acute orchitis.” The healing wound healing, relieve symptoms discharged. In 1984 the end of April again eat dog meat, the next day the above symptoms recurrence in the same year on May 18 admission. Examination: body temperature 38 ℃, limbs and trunk skin scattered in the dark red nodular erythema of varying sizes (diameter of about 0.5 ~ 3.0cm), tenderness significantly, the pressure does not fade. Some people can see the central outflow of a small amount of oil-like white discharge. Hips, thighs, knee visible scattered in the central depression pigment spots. Groin can reach broad bean or walnut lymph nodes, there