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患者女,48岁,因周身皮肤瘙痒、红肿、糜烂3个月,加重伴血糖升高1个月于2008年3月10日入院。3个月前无明显诱因出现上述症状,当地医院给予对症治疗,症状未缓解,且皮损呈扩大趋势,乃就诊于我院皮肤科。当时化验转氨酶升高,血糖高。予抗过敏、护肝及诺和龙口服,皮损反复发生。两天前发现尿酮体阳性而入我科。查体:体型肥胖,浅表淋巴结未触及,全身皮肤广泛破溃、弥漫性红斑、散在结痂、脱屑,局部皮温高,触痛明显,以双下肢为甚;眼睑水肿、破溃、渗出,结膜充血,口角红肿、破溃,舌红无苔、有干裂,咽红,扁桃体不大,心肺腹未见异常。实验室检查:血钾2.0～
Female patient, 48 years old, due to systemic skin itching, swelling, erosion 3 months, increased with blood sugar increased 1 month in March 10, 2008 admission. 3 months ago no obvious incentive to the above symptoms, the local hospital for symptomatic treatment, the symptoms did not ease, and the lesions showed an upward trend, is treated in our hospital dermatology. At that time, elevated transaminases, high blood sugar. To anti-allergy, liver and Connaught dragons oral, skin lesions occur repeatedly. Two days ago found urine ketone body into my department. Physical examination: body fat, superficial lymph nodes not touched, extensive skin ulceration, diffuse erythema, scattered scab, scaling, local skin temperature is high, tenderness is obvious to double lower limbs; eyelid edema, ulceration, Exudation, conjunctival hyperemia, mouth swollen, ulceration, red tongue without moss, chapped, throat, tonsil, aponeurosis no exception. Laboratory tests: potassium 2.0 ~