1临床资料患者,女26岁,黑龙江省兰西县人,于2000年9月11日因“周身皮下结节1月余”入院。患者1月前无明显诱因出现周身皮下结节,以躯干部为多见,偶有头痛,项强,恶心欲吐,无抽搐发作。查体:项强,无锁骨上、腋窝下淋巴结肿大,周身皮下结节,以躯干部为多见,触及约黄豆粒大小,按之坚硬,推之可移动,心脏检查无阳性体征,双侧胸廓对称,呼吸均匀一致,听诊呼吸音清晰,未闻及干湿罗音,腹平软,无肝 1 Clinical data Patients, 26 years old female, Lanxi County, Heilongjiang Province, on September 11, 2000 due to “whole body subcutaneous nodules more than 1 month” admission. Patients with no obvious incentive to appear 1 week ago, the whole body subcutaneous nodules to the trunk is more common, occasional headache, Xiang Qiang, nausea, no convulsive seizures. Physical examination: Xiang Qiang, no clavicle, lymph nodes under the armpit, the whole body subcutaneous nodules to the trunk is more common, reaching about the size of soybean particles, according to the hard, push the move, the heart check no positive signs, double Side of the chest symmetry, uniform breathing, auscultation respiratory sounds clear, no smell and wet and dry rales, abdominal soft, no liver