1 病历摘要 患者 女,47岁。因皮肤色素沉着、头晕、心悸、浮肿年余,伴发热3天于1993年9月17日入院。患者病后有间断发作尿路感染史,未接受过输血,无烟酒嗜好,偏素食。已绝经5年。体检:T 38.3℃,P 98次/分,R 30次/分,BPl2/8.5kPa(98/64mmHg),慢性重病容,贫血貌,颜面轻度浮肿。全身皮肤色素沉着呈青铜色,以暴露部位为著。全身毛发稀疏,无黄疸,无出血征。颈部、腋下及腹股沟可扪及黄豆至花生米大小的淋巴结,活动,无 Patient history Female patient, 47 years old. Due to skin pigmentation, dizziness, palpitations, edema more than 3 days with fever in September 17, 1993 admission. Patients with intermittent episodes of urinary tract infection after the disease has not received blood transfusion, alcohol-free alcoholic drinks, partial vegetarian. Has been menopause 5 years. Physical examination: T 38.3 ℃, P 98 beats / min, R 30 beats / min, BPl 2 / 8.5kPa (98 / 64mmHg), chronic severe disease, anemia, mild facial swelling. Body skin pigmentation bronze to expose the site as. Whole body hair sparse, no jaundice, no bleeding sign. Neck, underarms and groin palpable soybeans to peanuts sized lymph nodes, activity, no