患者2月前左颈部、右上肢和右腋下出现多处皮疹，起初为红斑，边界清晰，略

患者2月前左颈部、右上肢和右腋下出现多处皮疹，起初为红斑，边界清晰，略高出皮面，伴瘙痒，此后皮疹出现破溃并形成溃疡并结痂，不伴分泌物渗出，无发热，无头痛等不适，患者发病时（2019年8月8日-2019年10月8日）在伊拉克工作，曾被昆虫叮咬。自涂药膏（具体不详），症状无好转，经同事介绍于2019年11月11日就诊于我院门诊，查查血常规：白细胞(WBC)5.11�109/L，中性粒细胞绝对值(GR)3.27�109/L，中性粒细胞百分比(GR%)63.9%，血红蛋白(HGB)159g/L，血小板(PLT)162�109/L，C-反应蛋白(CRP)1.10mg/L。利什曼抗体检测：阴性。现为进一步诊治，收入我科治疗。

患者2月前左颈部、右上肢和右腋下出现多处皮疹，起初为红斑，边界清晰，略高出皮面，伴瘙痒，此后皮疹出现破溃并形成溃疡并结痂，不伴分泌物渗出，无发热，无头痛等不适，患者发病时（2019年8月8日-2019年10月8日）在伊拉克工作，曾被昆虫叮咬。 自涂药膏（具体不详），症状无好转，经同事介绍于2019年11月11日就诊于我院门诊，查查血常规：白细胞(WBC)5.11�109/L，中性粒细胞绝对值(GR)3.27�109/L，中性粒细胞百分比(GR%)63.9%，血红蛋白(HGB)159g/L，血小板(PLT)162�109/L，C-反应蛋白(CRP)1.10mg/L。 利什曼抗体检测：阴性。 现为进一步诊治，收入我科治疗。

Before February, the patient had multiple rashes on his left neck, right upper limb and right armpit. At first, the rash was erythema, with clear boundary, slightly higher than the skin surface, accompanied by pruritus. After that, the rash broke and formed ulcers and scabs, without exudates, fever, headache and other discomfort. When the patient was sick (August 8, 2019 to October 8, 2019), he worked in Iraq and was bitten by insects. Self application of ointment (unknown), no improvement in symptoms, was introduced by colleagues to our outpatient department on November 11, 2019. Blood routine examination: WBC 5.11 × 109/l, GR 3.27 × 109/l, GR 63.9%, Hgb 159G / L, PLT 162 × 109 / L, CRP 1.10mg/l. Leishman antibody test: negative. It is for further diagnosis and treatment, and it is included in our department.<br>