Division of General Internal Medicine, Department of Medicine, University of Washington.
Division of Rheumatology, Department of Medicine, University of Washington; VA Puget Sound Health Care System, Seattle, WA.
Chest. 2020 Jul;158(1):e33-e36. doi: 10.1016/j.chest.2019.12.013. Epub 2020 Jul 2.
A 68-year-old man developed an erythematous, papular, pruritic rash on his right thigh 1 month prior to presentation. It subsequently spread to his other extremities and trunk. He also endorsed fevers of > 38.3°C, night sweats, fatigue, shortness of breath, and a dry cough. He was prescribed triamcinolone 0.1% cream for his rash and azithromycin for presumed community-acquired pneumonia, with no improvement in symptoms. He had a history of relapsing polychondritis for which he was prescribed infliximab and low-dose prednisone. He had never smoked tobacco, did not use alcohol or illicit substances, and had no significant travel history.
一位 68 岁男性，于就诊前 1 个月出现右侧大腿红斑性、丘疹性、瘙痒性皮疹，随后皮疹蔓延至其他四肢和躯干。他还伴有 >38.3°C 的发热、盗汗、乏力、呼吸急促和干咳。他因皮疹被开具曲安奈德 0.1%乳膏，因疑似社区获得性肺炎被开具阿奇霉素，但症状无改善。他既往患有复发性多软骨炎，接受英夫利昔单抗和低剂量泼尼松治疗。他从不吸烟，不饮酒或使用非法药物，也没有重要的旅行史。
