• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Canadian Journal of Emergency Medicine >A painful rash
【24h】

A painful rash

机译：痛苦的皮疹

获取原文
       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

An 80-year-old female resident of a nursing facility witha history of type 2 diabetes and dementia presented witha painful rash that began on her neck and subsequentlyspread to approximately 70% of her body. The rashbegan 1 month prior to her presentation. It involved thepatient’s palms and soles but was not present on hermucous membranes. The rash was initially pustular, butas it worsened, large areas of skin sloughed off (Figure1), leaving tender erythematous sections without deeperosions (Figure 2). Erythematous plaques with drywhite scale were visible on the patient’s scalp. Thepatient was afebrile and had a pulse of 109 beats/min, arespiratory rate of 20 breaths/min, a blood pressure of136/86 mm Hg, and a room air oxygen saturation of96%. She had a white blood cell count of 27.8 3 109/L(91% neutrophils) and blood glucose of 7.3 mmol/L.The patient had received a course of oral prednisone,which had been tapered in the week preceding herpresentation. Two months before coming to theemergency department, she had completed a course ofterbinafine for an unrelated condition.
机译：一位有2型糖尿病和痴呆病史的护理机构的80岁女性居民出现了起于颈部的皮疹，随后扩散至大约70％的身体。皮疹开始于她的出现前1个月。它累及患者的手掌和脚掌，但不存在于粘膜上。皮疹起初为脓疱，但随着皮疹的恶化，大面积皮肤脱落（图1），使嫩红斑部分无深度浸蚀（图2）。在患者的头皮上可见干白鳞片的红斑。患者发热，脉搏为109次/分，呼吸频率为20次/分，血压为136/86 mm Hg，室内空气氧饱和度为96％。她的白细胞计数为27.8 3 109 / L（91％的中性粒细胞），血糖为7.3 mmol / L。患者接受了一个疗程的口服泼尼松治疗，该过程在患者出现前的一周逐渐缩小。来到急诊科前两个月，她完成了一个与条件无关的特比萘芬课程。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号