A woman in her 30s presented with a one year history of a recurrent rash on her hands in association with oral and genital ulcers. She was otherwise well and took no regular medication but described recurrent episodes of dysuria and frequency, followed 1-3 days later by the development of oral and genital ulcers and painful dermal plaques. She had been treated several times during these episodes for presumed recurrent urinary tract infections but received no other treatment and the rash had resolved spontaneously after a few weeks. No systemic symptoms such as fever or arthralgias were experienced. Examination during an acute episode showed dusky pink targetoid plaques on the palms (fig 1). Similar lesions surrounded the genital skin and two superficial ulcers were present on the labia minora. She had no oral lesions. Blood test results were unremarkable. A swab from a vulval …

中文翻译：

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复发性皮疹和口腔生殖器溃疡


一名 30 多岁的女性因手部反复出现皮疹且伴有口腔和生殖器溃疡已有一年的病史就诊。她其他方面都很好，没有服用常规药物，但描述了反复发作的排尿困难和尿频，1-3 天后出现口腔和生殖器溃疡以及疼痛的真皮斑块。在这些发作期间，她曾因推测的复发性尿路感染接受过多次治疗，但没有接受其他治疗，几周后皮疹自然消退。未出现发热、关节痛等全身症状。急性发作期间的检查显示手掌上有暗粉色靶样斑块（图 1）。生殖器皮肤周围也有类似的病变，小阴唇上也有两个浅表溃疡。她没有口腔病变。血液检查结果无异常。外阴拭子…