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本病是一种新的独立疾病,病理组织学与成人的反应性淋巴结增生不尽相同。例1.女,11岁。持续发热、伴双侧颈淋巴结肿大18天,抗结核与抗炎治疗无效入院。体检:体温39.4℃,双侧颈后三角区之淋巴结呈串珠状肿大,腋下及腹股沟亦可触及,质地较硬、轻度压痛,无粘连。白细胞4×10~9/L,中性,53%,淋巴47%,血红蛋白100.8g/L。血培养(-)、胸片正常。经抗结核治疗半月,仍高热不退,肝增大肋下1cm、两次取淋巴结活检,均为淋巴结广泛凝固性坏死,病灶中有破碎的淋巴细胞,灶周边有泡沫样组
The disease is a new independent disease, histopathology and adult reactive lymph node proliferation are not the same. Example 1. Female, 11 years old. Continuous fever, with bilateral cervical lymph nodes 18 days, anti-TB and anti-inflammatory treatment ineffective admission. Physical examination: body temperature 39.4 ℃, bilateral cervical posterior triangular zone beaded beads were swollen, armpits and groin can be touched, the texture is hard, mild tenderness, no adhesions. White blood cells 4 × 10 ~ 9 / L, neutral, 53%, lymphatic 47%, hemoglobin 100.8g / L. Blood culture (-), chest X-ray normal. The anti-TB treatment for half a month, still high fever, liver enlargement ribs 1cm, two lymph node biopsy, are extensive coagulation necrosis of lymph nodes, lesions have broken lymphocytes around the stove-like foam group