Kemp D R
Alfred Hospital, Prahran, VIC.
Med J Aust. 1990 Jun 18;152(12):669-71. doi: 10.5694/j.1326-5377.1990.tb125430.x.
A 28-year-old man presented with painful progressive necrosis of the skin of his left leg which was associated with general toxicity and a high fever. A working diagnosis of necrotizing arachnidism was made, but no improvement followed two weeks of therapy with analgesics, antibiotics and antihistamines. His symptoms responded rapidly to prednisolone therapy, and a diagnosis of pyoderma gangrenosum was confirmed by biopsy. This subsequently proved to be associated with early acute myelomonocytic leukaemia.
一名28岁男性因左腿皮肤疼痛性进行性坏死就诊，伴有全身中毒症状和高热。初步诊断为坏死性蛛毒中毒，但使用镇痛药、抗生素和抗组胺药治疗两周后病情无改善。他的症状对泼尼松龙治疗反应迅速，活检确诊为坏疽性脓皮病。后来证明这与早期急性粒单核细胞白血病有关。
