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Mucocutaneous Drug Reactions Panniculitis

机译:粘膜皮肤药物反应脂膜炎

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Painful, erythematous plaques haderupted 4 to 6 weeks earlier on theleft upper arm and lower abdomi-nal wall of a 54-year-old woman. Thelesions had since increased in size andbecome more tender. The patient reported no trauma,fever, chills, sweats, arthralgias, myalgias,or weight change. Her past medical his-tory included embolic stroke, hyperten-sion, and intravenous substance abuse.While taking warfarin 1 year earlier, shehad been given one injection of vitaminK subcutaneously at each of the sites ofthe current lesions for a supratherapeuticinternational normalized ratio. Otherthan the plaques on her left arm and ab-dominal wall, physical examination find-ings were unrevealing.
机译:一名54岁妇女的左上臂和下腹部壁在4到6周前疼痛性红斑萎缩。此后,病变的大小增加了,并且变得更加柔软。该患者无外伤,发烧,发冷,出汗,关节痛,肌痛或体重变化。她过去的医学史包括栓塞性中风,高血压和静脉内滥用药物。一年前服用华法林时,她在当前病变的每个部位皮下注射了一次维生素K注射,治疗剂量达到了国际标准化水平。除了左臂和腹部壁上的斑块,身体检查发现还没有发现。

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