Background
A75-year-oldwomanwithahistoryofhypertension,Parkinsondisease,osteoporosis,andtrigeminalneuralgiawasadmittedtothehospitalforevaluationoffever,rash,andskinpain.Herwidespreadskineruptionstarted3daysagoonherchestandspreadcentrifugally.Shealsoreportedadullheadacheandthathereyesfelt"soreandscratchy."
患者，女，75岁。因发烧、红疹和皮肤疼痛入院。病史：高血压，帕金森病，骨质疏松症，三叉神经痛。3天前患者胸部开始出现皮疹，迅速扩散。患者主诉头钝痛，眼睛“酸痒”。
Hermedicationsincludedhydrochlorothiazide(25mg/d),twoextended-releasecapsules(carbidopa[23.75mg]andlevodopa[95mg])threetimesdaily,andvitaminD(IUdaily).Shehadbeenstartedoncarbamazepine(mgtwicedaily)forhertrigeminalneuralgia6weeksago;thishadrecentlybeenincreasedtomgtwicedaily.
用药史：氢氯噻嗪（25mg/d），2粒缓释胶囊（卡比多巴[23.75mg]，左旋多巴[95mg]），每天3次，维生素DIU/d。6周前因三叉神经痛开始用药卡马西平（mg，每天2次）；最近剂量增至mg，每天2次。
PhysicalExaminationandWorkup
Physicalexaminationrevealedananxiousandun点状白癜风发病要多久才能治愈招聘网络编辑