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坏死增生性淋巴结病(Necrotizing hypQrplastic lymphaden,pathy,NHL)是近几年才逐渐被认识的一个疾病单元,因本病表现与淋巴瘤或结核病初步症状容易混淆,为减少误诊误治,我们收集国内外资料,现综合报道如下。 1 临床资料 1.1 一般资料 14例报告中,男10例,女4例,年龄最小14岁,最大56岁,平均年龄22.9岁。发病季节:春季4例,夏季9例,秋季1例。 1. 2 临床表现 ①初发症状;呼吸道感染症状者有8例,消化道症状,发热、头痛,上腹痛伴腹泻者1例;②发热:14例均有发热,7例驰张热,7例稽留热,最高体温达41℃,发热伴多汗,全身倦怠,体重下降等;③关节痛:6例发生全身关节疼,膝关节为著,局部无红肿渗出。 1.3 体征 ①淋巴结肿大;14例均有淋巴结肿大,10例颈,腋下淋巴结肿大,4例有颈、腹股沟、耳后、滑车上
Necrotizing hypQrplastic lymphaden (pathy, NHL) is a disease unit that has been gradually recognized in recent years. Because of the confusion between the manifestation of this disease and the initial symptoms of lymphoma or tuberculosis, in order to reduce the misdiagnosis and mistreatment, we collected domestic Foreign information, are comprehensively reported below. 1 Clinical data 1.1 General Information 14 cases report, 10 males and 4 females, the youngest 14 years old, maximum 56 years old, average age 22.9 years old. Incidence season: 4 cases in spring, 9 cases in summer and 1 case in autumn. 1.2 Clinical manifestations ① initial symptoms; symptoms of respiratory tract infection in 8 cases, gastrointestinal symptoms, fever, headache, abdominal pain with diarrhea in 1 case; ② fever: fever in 14 cases, 7 cases of Chi Zhang fever, 7 Case of heat to stay, the maximum body temperature of 41 ℃, fever with hyperhidrosis, body fatigue, weight loss, etc .; ③ joint pain: 6 cases of joint pain, knee, local no infiltration of inflamed. 1.3 signs ① swollen lymph nodes; 14 cases were swollen lymph nodes, 10 cases of neck, axillary lymph nodes, 4 cases of the neck, groin, ears, the pulley