Bullous herpes zoster infection caused its own sensitivity dermatitis 1 cases（大疱的带状疱疹感染引起自己的敏感性皮炎1例）.doc

Bullous herpes zoster infection caused its own sensitivity dermatitis 1 cases Male patients, the age of 25, Han nationality, blisters due to left leg and hip, with pain in one week, August 18, 2010, admission to the “herpes zoster”. Patients in the week before admission, no obvious incentive to the left thigh and buttock skin irritation, followed in the left thigh and buttocks clustered papules with blisters. Hepatitis, tuberculosis, and other chronic infectious disease history, no history of drug allergy, denied that the family genetic history. Admission examination: temperature 39 ?C, pulse 80 beats / min, respiratory rate 20 breaths / min, blood pressure 120/80mmhg, developed normally, clear mind, heart and lung liver and spleen were normal. Dermatology: The left leg and buttock skin flushing, clustered, and the pea to walnut size blister on the majority of blisters blister liquid is cloudy, smell the blood of laboratory tests: white blood cells 7.7 ?109 / L, neutrophils 0.72, lymphocytes 0.27, platelet 286 ?109 / L, and the blister fluid smears: leukocyte full vision / high power field of liver and kidney function tests were normal, three lines of hepatitis normal. After admission, anti-viral treatment given acyclovir injection 0.25g, 8 hours time, the intravenous drip to prevent infection given Vanguard ADM v injection 6g, two static points, to give local Zhou Lin spectrum physiotherapy treatment for 2 days , patients with body temperature 37.2 ℃, the local most of the blisters become pustules, no new rash appears. no significant change in condition. day treatment, the patient consciously body itching, it is difficult to sleep, followed by in the face, trunk, The limbs are dense red rash, press the fade, trunk rash integrated into the film, surface exudation. Check blood: white blood cells 14 ?109 / L, neutrophils 0.82, lymphocytes 0.15, ESR 68mm / h, complement the diagnosis of sensitive skin inflammation “. Continue the anti-virus, ant