变白变紫变红……这是什么病？
#贵州省中医院皮肤科##医学生Medic[超话]# 一位中年妇女来门诊，说看了几个门诊，没有看出什么病
主诉双手遇冷后变青紫，伴有疼痛，暖和后变红，
病史约2年
过程是很痛苦的，仔细一看，指腹出现了萎缩。
皮肤科医生一看这个病史，会想到自身自身免疫病。
这个雷诺现象，分为原发和继发。
继发性女性多于男性，发病年龄大于25岁，寒冷是诱发因素；实验室检查抗核抗体测定拓扑异构蛋白抗体阳性率高，
继发性雷诺现象的主要病因之一就是系统性硬化病。
最后一个图是银屑病。

Spleen tuberculosis. Miliary tuberculosis is a form of tuberculosis that is characterized by a wide dissemination into the human body and by the tiny size of the lesions (1–5 mm). Its name comes from a distinctive pattern seen on a chest radiograph of many tiny spots distributed throughout the lung fields with the appearance similar to millet seeds—thus the term "miliary" tuberculosis. Miliary TB may infect any number of organs, including the lungs, liver, and spleen.
#医学生Medic[超话]##medicaltalks#

Fluoroscopic image from an ERCP shows a bifurcated pancreatic duct within the pancreatic tail. In addition to this rare congenital anomaly, there are findings of chronic pancreatitis including dilation of the pancreatic duct and dilation and irregularity of the side branches. On cross-sectional imaging, other findings of chronic pancreatitis include pancreatic atrophy, pancreatic calcifications, and abnormal parenchymal signal.
#医学生Medic[超话]##medicaltalks#