Batta Sonali, Pederson Hannah, Brust Karen B, Fiala Katherine H
Texas A&M Health Science Center College of Medicine, Temple, Texas.
Department of Dermatology, Baylor Scott and White Medical Center, Temple, Texas.
Proc (Bayl Univ Med Cent). 2022 Apr 22;35(4):550-551. doi: 10.1080/08998280.2022.2065073. eCollection 2022.
A 41-year-old woman presented for evaluation of a pruritic eruption with an abrupt onset, starting on her flanks and then spreading to her arms and legs. She had 2 weeks of fever, chills, malaise, migratory joint pain, nausea, and mental confusion. An antistreptolysin O titer was positive. Upon hospital admission, bilateral lower-extremity chorea movements were observed, and her C-reactive protein level was elevated (3.7 mg/dL). Biopsy results supported erythema marginatum. Based on these clinical and laboratory findings, the diagnosis of acute rheumatic fever was established.
一名41岁女性因突发瘙痒性皮疹前来就诊，皮疹始于双侧胁腹，随后蔓延至手臂和腿部。她发热、寒战、乏力、游走性关节疼痛、恶心及精神错乱达2周。抗链球菌溶血素O滴度呈阳性。入院时，观察到双侧下肢有舞蹈样动作，其C反应蛋白水平升高（3.7mg/dL）。活检结果支持边缘性红斑。基于这些临床和实验室检查结果，确诊为急性风湿热。
