患者女,43岁,住院号C109799,因发现慢性粒细胞性白血病(简称慢粒)2年余,发热1月余,于1977年7月23日第四次入院。 患者于1975年4月因乏力、低热半年,在本院门诊检查肝脾肿大,血白细胞27.750/立方毫米,有少量原始、早、中、晚幼粒细胞,经骨髓穿刺确诊为慢性粒细胞白血病。马利兰治疗两周后发热达39℃,轻咳吐白痰,于同年5月31日首次住院。住院后下肢出现结节红斑,血沉108毫米/第1小时。胸相示左上肺陈旧增殖结核灶,经抗结核治疗26天后体温不降,加用保太松后次日体温即正常。抗结核治疗持续半年,慢粒改用中药治疗。1976年2月及3月二次用马利兰后均发热达39℃以上,于4月13日二次入院。住院过程中四肢又出现结节红斑,结合曾反复发作口腔及外阴溃疡病史诊断为白塞氏病。OT试验1:5000强阳 Female patient, 43 years old, hospital number C109799, found that chronic myeloid leukemia (referred to as CML) more than 2 years, more than 1 month fever, on July 23, 1977 the fourth admission. Patients in April 1975 due to fatigue, fever six months, in our hospital outpatient examination hepatosplenomegaly, white blood cells 27.750 / cubic mm, a small amount of primordial, early, middle and late promyelocytic, bone marrow puncture was diagnosed as chronic myeloid leukemia. Malilan two weeks after the treatment of fever up to 39 ℃, light cough spit phlegm, in the same year on May 31 the first hospitalization. Nodular erythema occurred after lower limbs, ESR 108 mm / first hour. Thoracic showed left upper lung pulmonary tuberculosis proliferation, after anti-TB treatment of body temperature does not drop 26 days, plus Paul security after the next day that is normal body temperature. Anti-TB treatment lasted six months, slow-granulation changed with traditional Chinese medicine treatment. February 1976 and March after the two with Maryland fever were 39 ℃ or more, on April 13 the second admission. During the hospitalized limbs appeared erythema nodules, combined with repeated episodes of history of oral and vulvar ulcer diagnosis of Behcet’s disease. OT test 1: 5000 strong positive