致死性中线肉芽肿(Lethal midline qranuloma)是常见病,我们收治了1例,报告于下。病历摘要患者,男性,39岁。1981年11月14日入院。患者素有慢性鼻炎史。8月中旬鼻塞、流涕症状加剧,伴左颞部隐痛。7月初自感低热,左颞部头痛加重,左侧面部水肿。在某医院检查,胸透阴性。先后3次鼻咽活检无异常。诊断慢性鼻窦炎、三叉神经痛。8月中旬体温升高,每日38～39℃。张口困难,左颜面肿胀加剧。在左侧软腭有一钱币大小溃疡,后鼻孔有1小 Lethal midline qranuloma is a common disease, and we treated 1 patient reported below. Patient summary, male, 39 years old. November 14, 1981 admission. Patients known as chronic rhinitis history. In mid-August nasal congestion, runny nose symptoms worse, with left temporal pain. Feeling low in early July, left head and neck increased headache, left facial edema. In a hospital examination, chest transparent. Has 3 times the nasopharyngeal biopsy was normal. Diagnosis of chronic sinusitis, trigeminal neuralgia. Mid-August body temperature, daily 38 ~ 39 ℃. I mouth difficulties, left facial swelling intensified. On the left soft palate there is a coin size ulcer, a small nostril