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血管性免疫母细胞淋巴结病(AILD)并发DIC迄今尚无文献记载。作者报告1例AILD伴发异常蛋白血症并反复发生DIC。本例为80岁女性白种人,以食欲不振、恶心、中腹和下肢疼痛以及颈部明显饱满而入院。除颈、腋下及腹股沟淋巴结肿大外,无特殊阳性体征。实验室检查:血红蛋白13.4g,红细胞比积38.9%,白细胞4,500,不典型淋巴细胞27%,血小板100,000。尿素氮45mg%,肌酐2.5mg%,尿酸14.2mg%。血清蛋白电泳示γ球蛋白显著增高且有β-γ带。免疫蛋白电泳呈多克隆IgG升高。血凝参数符合DIC,凝血时间延长,纤维蛋白原51mg%,可检出纤维蛋白单体及降解产物40μg/ml。骨髓中浆细
Viral immunoblastic lymphadenopathy (AILD) concurrent DIC has not been documented. The authors report a case of AILD associated with abnormal proteinuria and recurrent DIC. In this case, an 80-year-old female Caucasian is admitted to hospital with loss of appetite, nausea, pain in the abdomen and lower extremities, and a markedly full neck. In addition to neck, underarm and inguinal lymph nodes, no special positive signs. Laboratory tests: hemoglobin 13.4g, hematocrit 38.9%, white blood cells 4,500, atypical lymphocytes 27%, platelets 100,000. Urea nitrogen 45mg%, creatinine 2.5mg%, uric acid 14.2mg%. Serum protein electrophoresis showed that γ-globulin was significantly increased with β-γ band. Immunoglobulin polyacrylamide gel electrophoresis was elevated. Coagulation parameters in line with DIC clotting time, fibrinogen 51mg%, detectable fibrin monomer and degradation products 40μg / ml. Bone marrow thin