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例1,女性,39岁。1984年3月5日入院。患者5个月前因感冒后感到双腕关节及双膝关节酸痛,继之出现面部浮肿,双肩关节亦出现疼痛伴畏冷发热,在外经抗风湿治疗未见好转而入院。检查:T39.5℃,P100次/分。肝剑突下2cm,脾未触及。左上肢及双下肢活动受限,左肩关节及左膝关节可见红肿并压痛。Hb15g％,WBC12300～9800/mm~3,血沉81～142mm/h,抗“O”500u,LE细胞(-)。EKG示心肌受累。入院后给予激素、阿斯匹林、青霉素等治疗,症状来见明显好转。体温呈回归热型,波动在37℃～39℃之间。入院1个月后两侧臀部、大腿及上臂皮下散在出现数个结节样肿块,大小2×3 cm～7×8 cm,结节稍硬能移动,微隆起,与皮肤粘着,色微红,轻压痛,经皮下结节活检,病理证实为“脂膜炎”,病情进一步恶化,5月2日死亡。
Example 1, female, 39 years old. March 5, 1984 admission. Patient 5 months ago due to a cold feeling after wrist and knee joint pain, followed by facial edema, shoulder pain also appeared with fear of cold fever, anti-rheumatoid therapy outside the hospital did not improve. Check: T39.5 ℃, P100 beats / min. Liver xiphoid 2cm, spleen not touched. Left upper limb and lower limbs limited mobility, left shoulder and left knee joint swelling and tenderness can be seen. Hb15g%, WBC12300 ~ 9800 / mm ~ 3, erythrocyte sedimentation rate 81 ~ 142mm / h, anti “O” 500u, LE cells (-). EKG shows myocardial involvement. After admission to give hormones, aspirin, penicillin and other treatment, the symptoms to see a marked improvement. Body temperature was returned to heat type, fluctuations between 37 ℃ ~ 39 ℃. A month after admission, there were several nodules on the buttocks, thighs and upper arms scattered in the skin. The size of the nodules was 2 × 3 cm ~ 7 × 8 cm. The nodules were slightly hard to move, slightly raised and adhered to the skin. , Tender tenderness, subcutaneous nodules biopsy, pathology confirmed as “panniculitis”, the condition deteriorated further, May 2 death.