病者女性,35岁,因反复出现皮下结节、发热6年,便血1周于1990年9月16日入院。病者于1984年7月开始出现腹部皮下结节和发热,经病理活检诊断为结节性脂膜炎,用强的松后退热,皮下结节逐渐缩小至消失,继眼强的松维持量。1989年9月再出现腹部四肢皮下结节、发热,强的松加量,并用氯喹、中药等,皮下结节消失,仍反复发热。入院前1周大便带鲜血,量少,大便成形,每天1—2次,无腹痛,无咳嗽,咯血和气促。过去健隶,闭经已4个月。 Female patient, 35 years old, because of repeated subcutaneous nodules, fever 6 years, 1 week of blood in the stool was admitted on September 16, 1990. Patients began to appear in July 1984, abdominal subcutaneous nodules and fever, the pathological biopsy diagnosed as nodular panniculitis, with prednisone after fever, subcutaneous nodules gradually reduced to disappear, following the eye strong prednisone maintenance . In 1989 September again abdominal subcutaneous nodules limbs, fever, prednisone dosage, and with chloroquine, Chinese medicine, subcutaneous nodules disappear, still repeated fever. One week before admission stool with blood, less, stool shape, 1-2 times a day, no abdominal pain, no cough, hemoptysis and shortness of breath. In the past Jian Li, amenorrhea has been 4 months.