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误诊病例分析误诊为风湿性关节炎.例1:男,30岁,5个月前四肢关节疼痛、盗汗、心悸,近15天加重伴纳差、乏力、下肢水肿.曾多次胸透正常,抗风湿疗效差,病后无发热.检查:一般情况差,血沉86mm/L,X光胸片示:MPF.经抗痨治疗病情明显改善,出院后继续用药.3个月后复查,肺部病变基本吸收.对抗风湿疗效差,应想到Poncet氏病的可能,并注意鉴别,肺部3mm以下病变胸透不容易发现,因此一般情况下,胸透发现MPT是困难的,过于相信胸透正常易误诊.
Cases misdiagnosed as misdiagnosed as rheumatoid arthritis. Example 1: Male, 30 years old, 5 months ago limbs joint pain, night sweats, palpitations, nearly 15 days aggravating with anorexia, fatigue, lower extremity edema. Anti-rheumatic efficacy is poor, no fever after the disease. Check: poor general condition, ESR 86mm / L, X-ray showed: MPF. After anti-tuberculosis treatment was significantly improved, discharged after continued medication .3 months after the review, The basic absorption of the lesion of poor efficacy against rheumatoid, Poncet’s disease should think of the possibility and pay attention to identify the lung lesions less than 3mm chest is not easy to find, so under normal circumstances, chest X-ray examination of MPT is difficult to believe too much chest thorax Misdiagnosis.