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结节性动脉炎为胶元组织疾病之一。由于胶元组织广泛分布于身体各处,因此可在任何组织与器官产生本病。临床症状可见发热,血沉快,关节酸疼,皮肤多形性结节。但沿小动脉分布的结节较为多见。本病例首先出现颌下区的肿胀,牙关紧闭,而误诊为颌下淋巴结炎和间隙感染而收入我科。王某某,男,30岁,工人,汉族,一九七八年六月十三日因右颌下肿疼一月余而入院,住院号68894。患者一月前右下颌发现渐大之肿块。伴有面部疼痛、发烧、身倦,近二十天来开口困难。曾用抗菌素治疗无效,前来我院就诊。既往史中五年前曾患过锁骨、肩胛骨痛,对症治疗好转。个人史中无特殊记载。
Nodular arteritis is one of the diseases of glue cell tissue. As the gum tissue widely distributed throughout the body, it can produce the disease in any tissue and organ. Clinical symptoms of fever, rapid ESR, sore joints, skin pleomorphic nodules. However, nodules distributed along the arterioles are more common. This case first appeared in the submandibular swelling, trismus, and misdiagnosed as submandibular lymphadenitis and interstitial infection and income in our department. Wang Moumou, male, 30 years old, worker, Han nationality, was admitted to hospital on June 13, 1978 for more than one month after he had a right mandibular swelling and pain, and his hospital number 68894. Patient found a gradual enlargement of the right jaw a month ago. Accompanied by facial pain, fever, body fatigue, opening up nearly twenty days difficult. Anti-bacterial treatment was invalid, come to our hospital. Past history five years ago had had clavicle, scapular pain, symptomatic treatment improved. No special records in personal history.