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坏死性淋巴结炎最早是由日本学者首先报告。以后国内有关报道多见于成人。我院于1997～1999年收治6例,报告如下。 1 临床资料 1.1 一般资料 6例中男4例,女2例,年龄9～13岁,病程2～6周。外院疑为淋巴结结核2例,淋巴瘤2例,传染性单核细胞增多症1例,化脓性淋巴结炎1例。 1.2 临床表现 (1)6例均有发热,体温波动于38℃～41℃,弛张热,持续3～6周。3例伴有轻度畏寒、寒战。(2)均有多处浅表淋巴结肿大,以颈部、颌下、颏下、腋下、腹股沟淋巴结为主,直径1～3 cm,质中等,边界清,有轻触痛,活动好。(3)4例肝肋下1.5 cm,2例脾肋下2cm,边缘锐,无压痛。(4)皮疹1例,为充血性斑丘疹,躯干多见,搔痒,无脱屑,无色素沉着。
Necrotizing lymphadenitis was first reported by Japanese scholars. Later domestic reports more common in adults. Our hospital in 1997 to 1999 admitted to 6 cases, the report is as follows. 1 Clinical data 1.1 General Information 6 males in 4 cases, 2 females, aged 9 to 13 years, duration of 2 to 6 weeks. The outer court suspected lymph node tuberculosis in 2 cases, 2 cases of lymphoma, infectious mononucleosis in 1 case, 1 case of purulent lymphadenitis. 1.2 Clinical manifestations (1) 6 cases were fever, body temperature fluctuations at 38 ℃ ~ 41 ℃, relaxation heat for 3 to 6 weeks. 3 patients with mild chills, chills. (2) There are many superficial lymph nodes, with neck, submandibular, submental, underarm, inguinal lymph nodes, diameter 1 ~ 3 cm, medium quality, clear boundary, tenderness, good activity . (3) 4 cases of liver ribs 1.5 cm, 2 cases of spleen ribs 2cm, sharp edge, no tenderness. (4) rash in 1 case, congestive maculopapular, more common torso, itching, no scaling, no pigmentation.