结节性脂膜炎又名回归热型结节性非化脓性脂膜炎,是一种较少见而早期很容易误诊的疾病。病变在演变过程中全身脂肪组织均可受侵。肺部受侵国内文献仅见个案报道。我院发现1例,现报告如下。1 病例介绍 患者,男,45岁。无明显原因发烧5个月余,随后出现左侧阴囊疼痛肿胀,偶然发现腹壁和上下肢有数个包块、右踝关节疼痛。体查:腹壁及上下肢见数个皮下结节,微突出皮面,中央略红,质硬、光滑、有压痛,无活动,最大的直径约1.0 cm×1.5 cm,最小的约1.0 cm×0.5 cm,个别表面有渗出。左侧附睾较对侧大,有触痛。右踝无红肿有压痛。经诊断性抗炎、抗痨治疗无效 Nodular panniculitis, also known as recurrent nodular non-suppurative panniculitis, is a rare and early misdiagnosis of the disease. Lesions in the evolution of body fat tissue can be affected. Pulmonary invasion of the domestic literature only case reports. I found a hospital, are as follows. 1 case description Patient, male, 45 years old. No obvious cause fever for more than 5 months, followed by left scrotum pain swelling, occasionally found in the abdominal wall and upper and lower limbs have several mass, right ankle pain. Physical examination: The abdomen and the upper and lower extremity see a few subcutaneous nodules, slightly protruding leather, the central slightly red, hard, smooth, tenderness, no activity, the largest diameter of about 1.0 cm × 1.5 cm, the smallest of about 1.0 cm × 0.5 cm, some surface oozing. The left side of the epididymis than the contralateral, tenderness. Right ankle without swelling and tenderness. After the diagnosis of anti-inflammatory, anti-tuberculosis treatment ineffective