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例1:金某,男,29岁,干部.因血嗜酸细胞增高2年,颈、肘部肿块两个月,于1978年4月24日入院.1975年双下肢常起皮疹,发痒,酸性粒细胞40%.1978年2月发现肘部有大小不等淋巴结,病理检查认为是慢性炎症.颈部亦有多个淋巴结,遂入院诊治.查体:右腋下及左滑车部各触及2×3cm淋巴结数个,质硬无压痛,右锁骨上及腹股沟亦有数个.心肺无异常,肝脾不大.右腿胫前皮肤有5×5cm色素沉着,皮肤硬、粗糙.白细胞17,000,酸性粒细胞36%,绝对值6,200.骨髓增生,酸性粒细胞45.6%,多数为分叶杆状.心电图正常,胸透未见异常.淋巴结病理检查见大量嗜酸粒细胞浸润.诊断为嗜酸细胞增生性淋巴肉芽肿.
Example 1: Kim, male, 29 years old, cadre. 2 years due to blood eosinophilia, neck, elbow mass for two months, was admitted to hospital on April 24, 1978. In 1975 the lower extremities often rash, itching , 40% of acidic granulocytes .1978 February found elbows ranging in size from lymph nodes, pathological examination that is chronic inflammation. There are multiple neck lymph nodes, then hospitalized. Physical examination: the right arm and the left block Touch 2 × 3cm lymph nodes number, hard and no tenderness, the right clavicle and groin also have a number of heart and lung no abnormalities, liver and spleen is not big. Right leg anterior tibial skin 5 × 5cm pigmentation, hard, rough skin. WBC 17,000 , 36% of neutrophils, absolute value 6,200. Myeloproliferation, acid granulocytes 45.6%, mostly lobulated. ECG is normal, no abnormal chest X-ray examination of lymph nodes seen a large number of eosinophil infiltration. Acid cell proliferative lymphogranuloma.