对成人Still病误诊为淋巴结炎1例分析如下。1.病例摘要女,21岁。因颈部淋巴结肿大1周,发热3天入院。患者于入院前1周感冒后出现颈部淋巴结肿大,疼痛,近3天出现发热,体温最高38.5℃,并伴有手指关节及膝关节疼痛、肿胀。查体:T 38.0℃,神清,双侧颈前、颌下可触及多个肿大的淋巴结,最大3cm×2cm大小,触痛阳性,边界欠清。心、肺、腹部未见异常。手指关节轻度肿胀,四肢活动自如。血常规:WBC 7.65×109/L,N 0.826,L 0.111,PLT 200×109/L,Hb 117g/L;ESR An adult Still disease misdiagnosed as lymphadenitis in 1 case as follows. 1. Case Summary Female, 21 years old. Lymph nodes of the neck for 1 week, 3 days fever admission. Patients in the hospital one week before the onset of cold neck lymph nodes, pain, fever nearly 3 days, body temperature up to 38.5 ℃, and associated with joint pain and swelling of the joints and knees. Examination: T 38.0 ℃, Shen Qing, both sides of the neck, submandibular palpable multiple swollen lymph nodes, the maximum size of 3cm × 2cm, tenderness positive, the border is not clear. Heart, lung, abdomen no exception. Mild swelling of finger joints, limbs freely. Blood: WBC 7.65 × 109 / L, N 0.826, L 0.111, PLT 200 × 109 / L, Hb 117g / L; ESR