Objective To study the clinical features and treatment of 12 cases of lupus vulgaris.Methods A comprehensive study was performed on 12 patients with lupus vulgaris.The clinical and histopathological features,misdiagnosis,treatment and prognosis of this entity were analyzed.Results Of these patients,83.3％ had a history of local trauma before the occurrence of lupus vulgaris.All the patients showed an early onset and long clinical course of lupus vulgaris,absence of obvious symptoms and variety in skin lesions.Lupus vulgaris was misdiagnosed at the first visit in all the patients.The final diagnosis was confirmed by histopathology,purified protein derivative (PPD) test,acid-fast staining,Mycobacterium tuberculosis culture,DNA sequencing,etc.Satisfactory outcomes were achieved in these patients after standard anti-tuberculosis treatment.Conclusions Lupus vulgaris is easy to be misdiagnosed and improperly treated due to its complicated clinical features.Clinicians should expand their knowledge about this entity,which can be diagnosed by histopathology and culture.

Objective To investigate the effect of continuous 4C nursing model on coronary heart disease rehabilitation and provide basis for nursing intervention.Methods From January to June 2015, 90 patients with coronary heart disease hospitalized in Shaoxing People's Hospital were selected as the research object by convenient sampling method. Patients were divided into two groups according to the sequence of hospital admission, with the single number as the control group and the even number as the observation group, each group had 45 patients. Patients in the control group received conventional care model. Patients in the observation received continuous 4C intervention model. The quality of life of two groups of patients and readmission rates were compared.Results All dimensions of quality of life in observation group were higher than those of control group 6 months after discharge, the differences were statistically significant (t=4.159, 3.373, 2.150, 2.162, 3.597, 2.042, 3.913, 2.144;P<0.05). There was no significant difference in readmission rates between the two groups (χ2=0.714,P=0.398).Conclusions The continuous 4C nursing model can improve the quality of life of patients with coronary heart disease, which is worth popularizing and applying.