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风湿样结核病,又称结核感染过敏性关节炎。临床表现以关节痛、结节性红斑为主,因其与风湿病或急性风湿性关节炎有相似的地方,因此容易被延误诊治,应引起注意。我们曾遇到2例,现报告如下:【例1】住院号29,048,男,19岁,战士。三天前突然两足背疼痛,右踝关节红肿,畏寒,发烧,体温39℃。次日两下肢出现散在性结节性红斑,右侧5个,左侧3个,局部有压痛,诊断为急性风湿病而入院。当时检查两膝、踝关节轻度红肿、疼痛,两小腿外侧可见结节性红斑,血沉27~(毫米)/1_(小时),心尖
Rheumatoid-like tuberculosis, also known as tuberculosis infection, allergic arthritis. Clinical manifestations of joint pain, erythema nodosum mainly because of rheumatism or acute rheumatoid arthritis are similar to the place, so easy to delay diagnosis and treatment, should be noted. We have encountered two cases, are as follows: [Example 1] Inpatient number 29,048, male, 19 years old, soldiers. Three days ago suddenly two feet back pain, right ankle swelling, chills, fever, body temperature 39 ℃. The next day two scattered nodular erythema appeared on the lower extremities, the right 5, left 3, local tenderness, the diagnosis of acute rheumatoid disease and admission. At that time, check the knees, mild swelling of the ankle, pain, two lateral nodular erythema visible, erythrocyte sedimentation rate 27 ~ (mm) / 1_ (hours), apical