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患者男。20岁。因反复发热,皮肤弥漫性潮红肿胀,脱屑4个多月,后又发现胸腔积液,曾拟为“结核性胸膜炎”给予治疗,但病情反复而入我院。查体:T38.1℃,P108次/分,BP16/10kPa。全身皮肤弥漫性潮红肿胀,且见糠皮样脱屑。浅表淋巴结不大,咽部充血扁桃腺肿大有脓苔。心界不大心率108次/分,律齐。右肺第3肋以下叩诊音浊、语颤和呼吸音减弱。肝脾未扪及。化验:WBC14.4×10_6/L、分类:N51％、L14％、E34％、M1％,嗜酸粒细胞计数1.28×10~9/L。蛋白电泳A38.4％,)α_1 4.4％、α_2 11.2％、β6.2％、γ39.8％。血清免疫球蛋白正常范围。类风湿因子阻性(-)。肝功能正常。胸水嗜酸性粒细胞占10％以上,未见
Patient male. 20 years old. Due to repeated fever, the skin diffuse flushing, scaling more than 4 months, and later found pleural effusion, had been proposed for the “tuberculous pleurisy” to give treatment, but the disease repeatedly into our hospital. Physical examination: T38.1 ℃, P108 times / min, BP16 / 10kPa. Diffuse general systemic flushing swollen, and see the bran-like scaling. Superficial lymph nodes is not large, pharyngeal congestion congestive tonsil. Heart rate is not heart rate 108 beats / min, law Qi. Right lung below the third rib percussion sound turbidity, fibrillation and breath sounds weakened. Liver and spleen not palpable. Assay: WBC14.4 × 10_6 / L, classification: N51%, L14%, E34%, M1%, eosinophil count 1.28 × 10 ~ 9 / L. Protein electrophoresis A38.4%,) α_1 4.4%, α_2 11.2%, β6.2%, γ39.8%. Serum immunoglobulin normal range. Rheumatoid factor resistance (-). Liver function is normal. Pleural effusion eosinophils accounted for more than 10%, no