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Weber-Christian 病又称结节性脂膜炎,兹报导误诊2例。例1,女,23岁,不规则发热,四肢肌肉关节痛3月余,近2周高热稽留39℃～40℃,经抗结核治疗无效,既往有颈淋巴结核史。以发热待诊,颈淋巴结核于1983年6月住院治疗。体检:体温39℃.脉搏120次,呼吸30次,Bp100/60。贫血貌,右颈部淋巴结呈串珠样0.5×1cm,质Ⅱ°。心肺(-),肝脾肋下及边,关节(-),血沉142mm/h。抗核抗体(-),颈淋巴结活检病理诊断结
Weber-Christian disease, also known as nodular panniculitis, is reported in 2 cases misdiagnosed. Case 1, female, 23 years old, irregular fever, limb muscle and joint pain more than 3 months, nearly 2 weeks high fever to keep 39 ℃ ~ 40 ℃, the anti-TB treatment ineffective, previous history of cervical lymph node tuberculosis. In order to diagnose fever, cervical lymph node in June 1983 hospitalization. Physical examination: body temperature 39 ℃. Pulse 120 times, breathing 30 times, Bp100 / 60. Anemia appearance, right neck lymph nodes was beaded like 0.5 × 1cm, quality Ⅱ °. Heart and lung (-), liver and spleen ribs and the edge, joint (-), ESR 142mm / h. Antinuclear antibody (-), cervical lymph node biopsy pathological diagnosis