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病历摘要:患者陈××,男,21岁,战士。从1973～1977年因感冒或外伤先后4次服磺胺甲氧嗪(SMP),服后6～12小时出现全身皮肤灼热、痛痒继而出现大小不一的红斑、小丘疹及水疮,口唇周围皮肤紫黑干裂,龟头冠状沟处有糜烂,但口腔粘膜无溃疡,无虹膜睫状体炎,或前房积脓等。前3次症状较轾,未引起重视,自愈。最后1次症状较重,诊断为口、眼、生殖器三联症入院治疗。最后确诊为磺胺甲氧嗪过敏性皮炎。经一般西药脱敏,对症处理和中草药治愈出院。体会:1.患者4次发病都与服SMP有密切关系,服后6～12小时出现皮肤、生殖器损害,而无口腔溃疡、虹膜睫状体炎或前房积脓等病变。根据服药史及临床表现,确诊为磺胺甲氧嗪过敏性皮炎。2.口、眼、生殖器三联症具有口腔、生殖器溃疡、虹膜睫状体炎或前房积脓三大症状反复发作的特
Medical record summary: Patient Chen × ×, male, 21 years old, soldier. From 1973 to 1977, 4 doses of sulfamethoxazole (SMP) were given due to a cold or trauma. Whole body skin burning occurred 6 to 12 hours after the service. Erythema, papules and water sores of different sizes appeared and the surrounding skin around the lips Black and white chapped glans coronal groove at the erosion, but no ulceration of oral mucosa, no iridocyclitis, or empyema and so on. The first 3 times more symptoms, did not pay attention, self-healing. The last time the symptoms were severe, the diagnosis of mouth, eyes, genital triad hospitalization. The final diagnosis of sulfamethoxine allergic dermatitis. After the general western medicine desensitization, symptomatic treatment and cure cured. Experience: 1. Patient 4 were closely related to the incidence of SMP service, 6 to 12 hours after serving the skin, genital damage, and no oral ulcers, iridocyclitis or hypopyon of hypopituis and other lesions. According to medication history and clinical manifestations, diagnosed as sulfamethoxazine allergic dermatitis. 2. mouth, eye, genital triad with oral, genital ulcer, iridocyclitis or anterior chamber hypothyroidism symptoms of repeated attacks of special