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目的 总结结节性脂膜炎的临床特点。方法 总结 30例经病理证实的脂膜炎患者的临床资料。结果 本病多发于中青年 ,主要表现有皮下浸润性伴自觉痛及触痛的结节或斑块 (10 0 % )、发热 (90 % )。临床常分为皮肤型和系统型 ,后者可伴有呼吸、循环、消化、血液系统脏器受累及实验室检查异常。治疗应祛除诱因 ,系统型需加用皮质激素、免疫抑制剂。预后一般良好 ,死亡常因感染、严重脏器受累和出血。结论 脂膜炎病因不清 ,临床表现多样 ,皮肤型较系统型患者预后良好。
Objective To summarize the clinical features of nodular panniculitis. Methods The clinical data of 30 patients with pathologically confirmed panniculitis were summarized. Results The disease occurred in middle-aged and young, mainly subcutaneous infiltration with conscious pain and tender nodules or plaques (10 0%), fever (90%). Clinical often divided into skin type and systemic type, the latter may be associated with breathing, circulation, digestion, blood system organ involvement and laboratory abnormalities. Treatment should get rid of incentives, systemic need to add corticosteroids, immunosuppressive agents. The prognosis is generally good, death often due to infection, severe organ involvement and bleeding. Conclusion The etiology of lipid meningitis is unclear. The clinical manifestations are diverse. The skin type patients with more systemic type have a good prognosis.