1 病历摘要患者，男，43岁，农民。因乏力、手震颤 1 年，皮疹 1 个月，腹泻、精神症状 9 日于1995年11月29日入院。患者一年来感乏力、软弱，食欲明显下降，人消瘦，记忆力下降，手震颤，口、舌疼痛。近一个月来，双手背及双足背先后出现皮疹，皮疹开始为小块状，色绯红，略高 1 patient summary of the patient, male, 43 years old, farmer. Due to fatigue, hand tremor for 1 year, 1 month rash, diarrhea, mental symptoms on the 9th in November 29, 1995 admitted. One year, the patient felt weak, weak, appetite decreased significantly, people wasting, memory loss, hand tremor, mouth, tongue pain. In the past month, there have been rashes on both hands and feet, rash began to small, crimson color, slightly higher