A 39-year-old man was admitted to our hospital for evaluation of unilateral painful purpuric lesions on the left hand and forearm on 18 December 2003. The lesions had occurred 4 days before hospi-talization and had progressively increased in size and number. He had dyspnea, fever, chills and myalgia. He had undergone an aortic dissection and a Bentall procedure2 3 months and 5 years prior, respectively. His ascending aorta had been displaced by the prosthetic aortic graft. On the day of admission, tender erythematous to purpuric macules and papules were observed on his left hand and forearm (Fig. 1a,b), His blood test showed the following results: white blood cell count, 14.9 x 103/jiL (81.5% segmented neutro-phils); platelet count, 270 x 103/|xL; hemoglobin level, 9.6 g/dL; aspartate transferase, 44 ILJ/L; alanine transferase, 74 IU/L; Na, 130 mEq/L; K, 3.2 mEq/L; Cl, 97 mEq/L; and albumin, 3.2 g/dL.
展开▼
机译：一名39岁的男子于2003年12月18日入院，评估左手和前臂的单侧疼痛性紫癜性病变。病变发生在住院前4天，并且大小和数量逐渐增加。他患有呼吸困难，发烧，发冷和肌痛。他分别在3个月和5年之前进行了主动脉夹层和Bentall手术。他的升主动脉已被假体主动脉移植物置换。入院当天，左手和前臂观察到红斑性紫癜和丘疹（图1a，b），他的血液检查结果如下：白细胞计数为14.9 x 103 / jiL（81.5％）分段中性粒细胞）;血小板计数：270 x 103 / | xL;血红蛋白水平，9.6 g / dL;天门冬氨酸转移酶，44 ILJ / L;丙氨酸转移酶，74 IU / L; Na，130 mEq / L; K，3.2 mEq / L; Cl，97 mEq / L;和白蛋白3.2 g / dL。
展开▼
