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患者男,42岁。因颈部淋巴结肿大伴发热1月住院。查体:急性病容,于左颈部、颌下及右锁骨上窝可触及多个肿大的淋巴结,2.5×2cm～0.5×1cm大小,质中、活动、有压痛,咽充血,RBC3.7×10~(12)/L,血沉51mm/h,肝功能TTT11.6,TFT++;骨髓象:大致正常。Ig测定:IgG20.1g/L、IgM4.2g/L、IgA5.4g/L、OT(-)。颈部淋巴结活检为:淋巴结内可见大小不等的灶性坏死,坏死灶内可见大量的破碎细胞核,并可见坏死的血管影象,坏死周边部无嗜中性白细胞,但有时能见到组织细胞反应性增生,无
Male patient, 42 years old. Due to cervical lymph node enlargement with fever in January hospitalization. Physical examination: acute disease, in the left neck, submandibular and right supraclavicular fossa can reach a number of enlarged lymph nodes, 2.5 × 2cm ~ 0.5 × 1cm size, quality, activity, tenderness, pharyngeal congestion, RBC3.7 × 10 ~ (12) / L, erythrocyte sedimentation rate 51mm / h, liver function TTT11.6, TFT ++; bone marrow: roughly normal. Ig assay: IgG 20.1 g / L, IgM 4.2 g / L, IgA 5.4 g / L, OT (-). Cervical lymph node biopsy was found in the lymph nodes ranging in size from the necrosis of the necrotic lesions seen in a large number of broken nuclei and necrotic vascular images necrosis peripheral no neutrophils, but sometimes see the tissue cells Reactive hyperplasia, none