组织细胞增生症 X 又称网状内皮细胞增生症,临床以发烧、皮疹、肝脾肿大和骨质缺损为主要表现,而我们所见一例与其不同,是以颅内压增高为主要表现,临床罕见,现报告如下。病例摘要王×,男,11岁,住院号48901。因进行性头疼伴呕吐40余天入院。病初头疼较轻,呈钝痛,下午明显,病情逐日加重,头疼剧烈难忍,并伴喷射性呕吐,精神不振,时有低热,无皮疹、多饮、多尿等情况,病后曾按炎症治疗用过各种抗菌素不见好转而来我院。查体发育营养一般,表情淡漠,呼吸平稳,皮肤无皮疹,浅表淋巴结不 Histopathosis X, also known as reticuloendotheliosis, clinically with fever, rash, hepatosplenomegaly and bone defects as the main performance, and we see an example is different from the increased intracranial pressure as the main manifestation of clinical Rare, now report as follows. Case summary Wang ×, male, 11 years old, hospital number 48901. Due to progressive headache with vomiting over 40 days admitted to hospital. Early headache is mild, dull pain, afternoon obviously, the condition is aggravating day by day, the headache is extremely unbearable, accompanied by jet vomiting, lack of energy, sometimes fever, no rash, polydipsia, polyuria, etc. Inflammation used a variety of antibiotics did not improve my hospital. Physical examination nutrition in general, indifferent expression, smooth breathing, no skin rashes, superficial lymph nodes