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血管免疫母细胞淋巴结病(AILD)的临床表现无特异性而易于误诊。我院收治一例曾误诊为传染性单核细胞增多症(IM),现报告如下。女患,55岁1989年9月13日因咳嗽、全身淋巴结肿大一月、发烧2周、皮肤搔痒3天入院。体检:T38.5℃,Bp19/12kPa,急性重病容,颜面浮肿。皮肤散在红色皮疹斑丘疹,四肢密布,双下肢可见紫瘢。全身淋巴结肿大,大小不等。左腋下肿大淋巴结融合成4.5×5cm巨块。心肺正常,肝肋下1.5cm,脾肋下4.0cm。化验:Hb97g/L,WBC12×10~9/L,异淋0.22.BPC74×10~9/L。
The clinical manifestations of AILD are nonspecific and easily misdiagnosed. A case of our hospital has been misdiagnosed as infectious mononucleosis (IM), are as follows. Female, 55 years old September 13, 1989 due to cough, systemic lymphadenopathy January, fever 2 weeks, itchy skin 3 days admitted. Physical examination: T38.5 ℃, Bp19 / 12kPa, acute severe disease, facial edema. Skin scattered in red rash rash, limbs, visible purple scar lower limbs. Generalized lymph nodes, sizes. Left axillary lymph nodes into fusion 4.5 × 5cm giant. Cardiopulmonary normal liver ribs 1.5cm, 4.0cm spleen ribs. Assay: Hb97g / L, WBC12 × 10 ~ 9 / L, different leaching 0.22.BPC74 × 10 ~ 9 / L.