asbryobvrz
ORANGE EKSTRAKLASA
Dołączył: 21 Lut 2011
Posty: 441
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Skąd: England
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 Wysłany: Sob 20:42, 05 Mar 2011 |
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Fixed drug eruption misdiagnosed as Behcet syndrome
Secretion, no pain,[link widoczny dla zalogowanych], penis and scrotum scattered ulcers, infections outside the hospital and treatment given to anti-ulcer drugs (specifically unknown) treatment, about 10 days recovery. Since then, the same year and the following year 1 of the attack, outside hospital diagnosed as Behcet syndrome, the symptoms disappeared after symptomatic treatment. 4 days ago and a cold joint sulfonamide trimethoprim oral tablets (Efficiency Alliance sulfonamide tablets) 4,[link widoczny dla zalogowanych], available cold capsule 2 capsules, 2 days later with oral and genital ulcers, the enemy hospital. Asked history, before the onset of the above have taken previous anti-cold medicine. Examination: l the left hand fingers and right hand 2 fingers like a red hand ringworm lesions, pathergy negative, superficial lymph nodes are not touched, mild swelling lips, tongue,[link widoczny dla zalogowanych], white discharge on the right shows,[link widoczny dla zalogowanych], the edge of the tongue can be seen unclear, flaky distribution of superficial ulcers, ulcer healing at some pigmentation. No throat congestion, not tonsil, heart and lung auscultation was normal. Glans skin erosion, the size of the scrotum shows an ulcer diameter of 0.5em. The dermatology consultation, a diagnosis of fixed drug eruption, given prednisone 30mg / d orally,[link widoczny dla zalogowanych], 3 days after ulcer healing, and gradually reduce, without recurrence. 2 fixed drug eruption and discuss the clinical manifestations of Behcet syndrome have similarities, there may be skin, mucous membrane ulcers and eye lesions, but the detailed history, careful physical examination, can be identified. Identification of two following points: ① fixed drug eruption have a clear medical history of patients, the patients with sulfonamide after the onset. ② two ulcers of different shapes, mostly fixed drug eruption sheet distribution, the edge is unclear, more superficial ulcers, ulcer healing pigmentation left; and ulcer Behcet syndrome, erythema early for a round was followed by a needle the size of the blisters or pimples, 48 hours progressed to 2 ~ 10em round or oval ulcers, central base for the yellow around the edge of a clearer presentation flush, ulcers healed without leaving scars and pigmentation ... . ③ ulcers Behcet syndrome treated without the system, often recurrent; fixed drug eruption of the ulcer without repeated, and faster healing than the former. Therefore, the full knowledge and understanding of the differences the two diseases, to reduce misdiagnosis, timely treatment is important to alleviate the suffering of patients.
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