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变态反应性亚败血症(SA)是一种少见疾病,临床表现复杂多样,其基本特征是:①长期反复的弛张热;②一过性皮疹;③关节肿痛;④血培养阴性;⑤对抗生素治疗无效而对激素有反应。本文介绍SA几种特殊的临床表现,包括:突出的中枢神经系统症状,大量的心包积液,变应性血管炎,血液系统表现为骨髓增生异常综合征(MDS)并最终转变为白血病,等等。这些特殊的表现极为罕见,但它们一旦成为突出的临床特征,本病的诊断将变得十分困难,认识这些特殊的表现,对正确诊断本病具有较大价值的。本文就这具有特殊表现的SA的临床特征和诊断进行分析和探讨。
Allergic sepsis (SA) is a rare disease with complex and diverse clinical manifestations. Its basic features are: ① long-term repeated fever; ② transient rash; ③ joint swelling and pain; ④ blood culture negative; Antibiotic treatment is ineffective and responsive to hormones. This article describes several specific clinical manifestations of SA, including prominent central nervous system symptoms, massive pericardial effusions, allergic vasculitis, manifestations of the blood system with myelodysplastic syndrome (MDS) and eventually leukemia, etc. Wait. These special manifestations are extremely rare, but once they become prominent clinical features, the diagnosis of the disease will become very difficult to recognize these special performance, the correct diagnosis of the disease has great value. This article on the special features of the clinical features and diagnosis of SA were analyzed and discussed.